Individual provider Active NPI

Lynda M Koehler, LMFT

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1417465253
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2667 Issued in MN
Practice address
3000 County Road 42 W Ste 313
Burnsville, MN 55337-4824
Phone
(612) 356-6878
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2667 MN Primary

Addresses

Primary practice location

3000 County Road 42 W Ste 313
Burnsville, MN 55337-4824

Mailing address

3000 County Road 42 W Ste 313
Burnsville, MN 55337-4824
Phone (612) 356-6878

Other practice location 1

1500 McAndrews Rd W
Burnsville, MN 55337-4432
Phone (952) 892-8495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2667MNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417465253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 313",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374824",
            "telephone_number": "612-356-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COUNTY ROAD 42 W STE 313",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374824",
            "telephone_number": "612-356-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 McAndrews Rd W",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374432",
            "country_code": "US",
            "telephone_number": "952-892-8495",
            "fax_number": "952-892-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "LYNDA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.