Individual provider Active NPI

Michelle Rennie

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1396198016
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2554 Issued in MN
Practice address
8401 Wayzata Blvd
Suite 150
Golden Valley, MN 55426-1343
Phone
(763) 544-1006
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2554 MN Primary

Addresses

Primary practice location

8401 Wayzata Blvd
Suite 150
Golden Valley, MN 55426-1343

Mailing address

8401 Wayzata Blvd
Suite 150
Golden Valley, MN 55426-1343
Phone (763) 544-1006

Other identifiers 1

IdentifierTypeStateIssuer
1831239003OtherMNCOMPANY NPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705002165 MN Practitioner - Marriage and Family Therapist 7012451719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2554MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoy & Associates Inc. CurrentSince May 22, 2024 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 150
Minneapolis, MN 55426
Phone (763) 544-1006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1396198016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "address_2": "SUITE 150",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343",
            "telephone_number": "763-544-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "address_2": "SUITE 150",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343",
            "telephone_number": "763-544-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY NPI",
            "identifier": "1831239003",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.