Individual provider Active NPI

Olivia Fesser, MA, LMFT

  • Marriage & Family Therapist
  • Mahtomedi, MN
National Provider Identifier
1487585543
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4631 Issued in MN
Practice address
760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060
Phone
(651) 280-4454
Fax
(651) 705-8167
NPI assigned
May 27, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 4631 MN Primary

Addresses

Primary practice location

760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060

Mailing address

760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060
Phone (651) 280-4454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 5, 2026 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4631MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1487585543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD # 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "651-280-4454",
            "fax_number": "651-705-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 STILLWATER RD # 101",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551152060",
            "telephone_number": "651-280-4454",
            "fax_number": "651-705-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSER",
        "first_name": "OLIVIA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahtomedi, MN

Sources for this page

Verify at the official NPI Registry.