Active NPI
Olivia Fesser, MA, LMFT
- Marriage & Family Therapist
- Mahtomedi, MN
National Provider Identifier
1487585543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4631
- Practice address
- 760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060 - Phone
- (651) 280-4454
- Fax
- (651) 705-8167
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- 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
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4631 | MN | MD | Professional Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4631 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060
Mailing address
760 Stillwater Rd # 101
Mahtomedi, MN 55115-2060
Phone (651) 280-4454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2026.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.