Maryjo Graske, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1480 Issued in MN

Practice address

7575 Golden Valley Rd
Suite 230
Golden Valley, MN 55427-4562

Phone

(763) 525-8590

Fax

(763) 525-8592

NPI assigned

Aug 1, 2006

Last updated

May 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pathways Psychological Services PAGroup PAC ID 9133161672, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pathways Psychological Services, P.a.

  • Mental Health Counselor
  • Plymouth, MN
  • NPI 1366443723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1427064930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GOLDEN VALLEY RD",
            "address_2": "SUITE 230",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274562",
            "telephone_number": "763-525-8590",
            "fax_number": "763-525-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASKE",
        "first_name": "MARYJO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan J. Gosse, DPT
• Samantha Jo Graf, DNP, FNP-BC
• Sasha Graham
• Teresa Mary Graham, LICSW
• Todd Fleming Grant, MD
• Lauren E Graveline, COTA/L
• Gregory Allen Gray, LMFT
• Great Lake Care LLC
• Greater Minneapolis Crisis Nursery
• Rachel Greene, LMFT

• Marriage & Family Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.