Active NPI
Barbara Ellen Nordstrom-Loeb, LMFT, BC-DMT
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1396025532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1976
- Practice address
- 4632 York Ave S
Minneapolis, MN 55410-1866 - Phone
- (612) 925-5277
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1976 | MN | Primary |
Addresses
Primary practice location
4632 York Ave S
Minneapolis, MN 55410-1866
Mailing address
4632 York Ave S
Minneapolis, MN 55410-1866
Phone (612) 925-5277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212001141 | MN | Practitioner - Marriage and Family Therapist | 9830532449 | Practice locations: Minneapolis, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4632 York Ave S
Minneapolis, MN 55410-1866
Phone (612) 916-1829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1976 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1396025532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4632 YORK AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101866",
"telephone_number": "612-925-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4632 YORK AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101866",
"telephone_number": "612-925-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDSTROM-LOEB",
"first_name": "BARBARA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "LMFT, BC-DMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.