Individual provider Active NPI

Faten F Khoury, MS, LMFT

  • Marriage & Family Therapist
  • Maplewood, MN
National Provider Identifier
1396866356
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1371 Issued in MN
Practice address
1499 Brooks Ave E
Maplewood, MN 55109-2012
Phone
(651) 206-8646
Fax
(651) 206-8646
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 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 1371 MN Primary

Addresses

Primary practice location

1499 Brooks Ave E
Maplewood, MN 55109-2012

Mailing address

1499 Brooks Ave E
Maplewood, MN 55109-2012
Phone (651) 206-8646

Other identifiers 1

IdentifierTypeStateIssuer
710095000OtherMNMHCP

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
I20250613002851 MN Practitioner - Marriage and Family Therapist 4385169143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Mental Health and Couples Center LLCGroup PAC ID 3870018625, 2 clinicians

Practice addresses (Care Compare)

8519 Eagle Point Blvd
Suite 120
Lake Elmo, MN 55042-8653
Phone (651) 352-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1371MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Mental Health and Couples Center LLC Marriage & Family Therapist CurrentSince Apr 9, 2025 Accepting new patients

Locations

8519 Eagle Point Blvd
Ste 120
Lake Elmo, MN 55042
Phone (651) 206-8646

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1396866356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 BROOKS AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092012",
            "telephone_number": "651-206-8646",
            "fax_number": "651-206-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 BROOKS AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092012",
            "telephone_number": "651-206-8646",
            "fax_number": "651-206-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "FATEN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "710095000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.