Individual provider Active NPI

Molly Jean Gurovitsch, LMFT

  • Marriage & Family Therapist
  • Fridley, MN
National Provider Identifier
1457761934
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2436 Issued in MN
Practice address
1250 Moore Lake Dr E Ste 152
Fridley, MN 55432-5135
Phone
(612) 389-2332
Fax
(612) 389-2338
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 2436 MN Primary

Addresses

Primary practice location

1250 Moore Lake Dr E Ste 152
Fridley, MN 55432-5135

Mailing address

1250 Moore Lake Dr E Ste 152
Fridley, MN 55432-5135
Phone (612) 389-2332

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Way Counseling, LLC Marriage & Family Therapist PastSince Nov 24, 2025 Accepting new patients
Rum River Counseling, Inc. Marriage & Family Therapist PastSince Jun 27, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1457761934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MOORE LAKE DR E STE 152",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325135",
            "telephone_number": "612-389-2332",
            "fax_number": "612-389-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MOORE LAKE DR E STE 152",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325135",
            "telephone_number": "612-389-2332",
            "fax_number": "612-389-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUROVITSCH",
        "first_name": "MOLLY",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.