Individual provider Active NPI

Lindsay R Hildreth, M.A., LMFT

  • Marriage & Family Therapist
  • Hudson, WI
National Provider Identifier
1467794529
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1177-124 Issued in WI
Practice address
900 6TH St N Ste 105
Hudson, WI 54016-7172
Phone
(651) 600-6204
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 1177-124 WI Primary

Addresses

Primary practice location

900 6TH St N Ste 105
Hudson, WI 54016-7172

Mailing address

3348 Millbrook Cir
Stillwater, MN 55082-3469
Phone (651) 600-6204

Other practice location 1

1636 River Rd
Saint Croix Falls, WI 54024-8209
Phone (651) 600-6204

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118003399 MN Practitioner - Marriage and Family Therapist 2961993894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yourtime Psychiatry and Medical Cannabis LLCGroup PAC ID 4082077201, 6 clinicians

Practice addresses (Care Compare)

15605 59TH PL N
Plymouth, MN 55446-3677
Phone (612) 458-3374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1177-124WIMDMarriage & Family Therapist
2824MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Heartwood Holistic Counseling CurrentSince Apr 17, 2020 Accepting new patients
Yourtime Psychiatry and Medical Cannabis LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

900 6th St N
Ste 105
Hudson, WI 54016
Phone (651) 600-6204

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1467794529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 MILLBROOK CIR",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550823469",
            "telephone_number": "651-600-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH ST N STE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167172",
            "telephone_number": "651-600-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 River Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Croix Falls",
            "state": "WI",
            "postal_code": "540248209",
            "country_code": "US",
            "telephone_number": "651-600-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1177-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.