Active NPI
Krystina Weiss, LAMFT
- Marriage & Family Therapist
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3678
- Practice address
- 4133 Iowa St Ste 105
Alexandria, MN 56308-3311 - Phone
- (320) 762-8851
- Fax
- (651) 925-0057
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 3678 | MN | Primary |
Addresses
Primary practice location
4133 Iowa St Ste 105
Alexandria, MN 56308-3311
Mailing address
1201 25TH St S
Fargo, ND 58103-2311
Phone (701) 451-4900
Other names 1
- Krystina Rasmussen
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3678 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Service Center | Marriage & Family Therapist | Current | Accepting new patients |
| Village Family Service Center | Current | Accepting new patients |
Locations
4133 Iowa St
Ste 105
Alexandria, MN 56308
Phone (320) 253-5930
4133 Iowa St
Alexandria, MN 56308
Phone (320) 762-8851
1201 25th St SW
Fargo, ND 58103
Phone (701) 451-4855
2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865
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 and National Provider Directory roles.
-
dba The Village Family Service Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1568492353
Marriage & Family Therapist, MN
-
dba The Village Family Service Center
- Substance Abuse Rehabilitation Facility
- Fargo, ND
- NPI 1952679318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1417590498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032311",
"telephone_number": "701-451-4900",
"fax_number": "651-925-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4133 IOWA ST STE 105",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083311",
"telephone_number": "320-762-8851",
"fax_number": "651-925-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "KRYSTINA",
"credential": "LAMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTINA",
"last_name": "RASMUSSEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.