Active NPI
Christine Jean Heath, L.M.F.T.
- Marriage & Family Therapist
- St. Paul, MN
National Provider Identifier
1467548388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1172
- Practice address
- 1854 Grand Avenue
St. Paul, MN 55105 - Phone
- (612) 702-6539
- Fax
- (651) 698-1233
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1172 | MN | Primary |
| Marriage & Family Therapist | 106H00000X | 20 | HI |
Addresses
Primary practice location
1854 Grand Avenue
St. Paul, MN 55105
Mailing address
1854 Grand Avenue
St. Paul, MN 55105
Phone (612) 702-6539
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 |
|---|---|---|---|
| 20 | HI | MD | Marriage & Family Therapist |
| 1172 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467548388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1854 GRAND AVENUE",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55105",
"telephone_number": "612-702-6539",
"fax_number": "651-698-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1854 GRAND AVENUE",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55105",
"telephone_number": "612-702-6539",
"fax_number": "651-698-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "CHRISTINE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "L.M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1172",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.