Active NPI
Constance Marie Dummer, LP, LMFT, RPT-S
- Psychologist
- Brooklyn Center, MN
National Provider Identifier
1487617536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3364
- Practice address
- 6120 Earle Brown Dr
Suite #200
Brooklyn Center, MN 55430-2123 - Phone
- (763) 566-0088
- Fax
- (763) 566-0089
- NPI assigned
- Apr 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3364 | MN | Primary |
Addresses
Primary practice location
6120 Earle Brown Dr
Suite #200
Brooklyn Center, MN 55430-2123
Mailing address
6120 Earle Brown Dr
Suite #200
Brooklyn Center, MN 55430-2123
Phone (763) 566-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP3364 | Other | MN | STATE LICENSE # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241017003467 | MN | Practitioner - Marriage and Family Therapist | 8426580218 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Attachment and Family Center of Minnesota
Practice addresses (Care Compare)
102 N Chestnut St
Chaska, MN 55318-1918
Phone (952) 234-4632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3364 | MN | MD | Psychologist |
| 856 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attachment and Family Center of Minnesota | Psychologist | Current | Accepting new patients |
| Christian Recovery Center | Past | Accepting new patients | |
| Christian Recovery Center | Psychologist | Past | Accepting new patients |
Locations
102 N Chestnut St
Chaska, MN 55318
Phone (952) 234-4632
Organizations & group practices 3
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.
-
- Clinical Child & Adolescent Psychologist
- Chaska, MN
- NPI 1053485904
MN, Psychologist
-
- Psychologist
- Golden Valley, MN
- NPI 1003879164
-
- Counselor
- Brooklyn Center, MN
- NPI 1831213420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487617536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR",
"address_2": "SUITE #200",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302123",
"telephone_number": "763-566-0088",
"fax_number": "763-566-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 EARLE BROWN DR",
"address_2": "SUITE #200",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302123",
"telephone_number": "763-566-0088",
"fax_number": "763-566-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMER",
"first_name": "CONSTANCE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LP, LMFT, RPT-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "LP3364",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.