Active NPI
Lynda M Koehler, LMFT
- Marriage & Family Therapist
- Burnsville, MN
National Provider Identifier
1417465253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2667
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2667 | MN | MD | Marriage & 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.