Active NPI
Randi Jo Ordner, MA, LMFT
- Marriage & Family Therapist
- Maple Grove, MN
National Provider Identifier
1417781659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2497
- Practice address
- 11280 86TH Ave N
Maple Grove, MN 55369-4510 - Phone
- (763) 242-6598
- NPI assigned
- Aug 29, 2024
- Last updated
- Aug 29, 2024
- 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 | 2497 | MN | Primary |
Addresses
Primary practice location
11280 86TH Ave N
Maple Grove, MN 55369-4510
Mailing address
11280 86TH Ave N
Maple Grove, MN 55369-4510
Phone (763) 242-6598
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2497 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthwise Psychology, PA | Multi-Specialty | Current | Accepting new patients |
| Scott M Yarosh, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828
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": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1417781659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11280 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-242-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11280 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-242-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDNER",
"first_name": "RANDI",
"middle_name": "JO",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-29",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
- Emmanuel Opoku Frimpong
- Anmarie L. Oppel, PNP
- Optimal Home of Maple Grove
- Optometric Eye Care Centers, PA (Eye Care Center)
- Oral & Maxillofacial Surgery Specialists, PA (OMS Specialists)
- Michelle Francine Orefice-Thomsen, P.T.
- McKenzie Christine Ormberg, COTA
- Orthodontic Specialists of Minnesota, P.L.L.C. (The Dental Specialists- Orthodontics)
- Orthognathic Services LTD
- Orthotic Care Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.