Individual provider Active NPI

Joseph J. Reid, PH.D.

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1407932445
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
981 Issued in MN
Practice address
1206 42ND Ave N
Minneapolis, MN 55412-1611
Phone
(612) 824-3369
Fax
(612) 824-3574
NPI assigned
Oct 31, 2006
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 981 MN Primary

Addresses

Primary practice location

1206 42ND Ave N
Minneapolis, MN 55412-1611

Mailing address

1206 42ND Ave N
Minneapolis, MN 55412-1611
Phone (612) 824-3369

Other identifiers 1

IdentifierTypeStateIssuer
305333400OtherMNMA

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
I20240920001900 MN Practitioner - Marriage and Family Therapist 0840731683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1206 42ND Ave N
Minneapolis, MN 55412-1611
Phone (612) 824-3369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
981MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relationships, LLC Marriage & Family Therapist CurrentSince Jul 3, 2024 Accepting new patients
I Am Me, LLC. Marriage & Family Therapist Past Accepting new patients

Locations

1206 42nd Ave N
Minneapolis, MN 55412
Phone (612) 824-3369

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1407932445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 42ND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121611",
            "telephone_number": "612-824-3369",
            "fax_number": "612-824-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 42ND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121611",
            "telephone_number": "612-824-3369",
            "fax_number": "612-824-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "305333400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.