Individual provider Active NPI

Heather O'Neil, LMFT

  • Marriage & Family Therapist
  • Lakeville, MN
National Provider Identifier
1396639795
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4405 Issued in MN
Practice address
10535 165TH St W
Lakeville, MN 55044-5729
Phone
(952) 715-1646
NPI assigned
Jun 9, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 4405 MN Primary

Addresses

Primary practice location

10535 165TH St W
Lakeville, MN 55044-5729

Mailing address

17020 Jonquil Ave
Lakeville, MN 55044-9532
Phone (952) 715-1646

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
I20250715000580 MN Practitioner - Marriage and Family Therapist 5092220459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairweather Investments, LLC CurrentSince Jun 1, 2025 Accepting new patients
Lakeville Behavioral Health, LLC PastSince Jun 1, 2025 Accepting new patients

Locations

10535 165th St W
Lakeville, MN 55044
Phone (952) 435-0022

Organizations & group practices 2

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1396639795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 JONQUIL AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449532",
            "telephone_number": "952-715-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445729",
            "telephone_number": "952-715-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.