Individual provider Active NPI

Constance Marie Dummer, LP, LMFT, RPT-S

  • Psychologist
  • Brooklyn Center, MN
National Provider Identifier
1487617536
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP3364 Issued in MN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LP3364OtherMNSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 MinnesotaGroup PAC ID 1052406444, 3 clinicians

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

LicenseStateTypeSpecialty
LP3364MNMDPsychologist
856MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Attachment and Family Center of Minnesota Psychologist CurrentSince Aug 9, 2024 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.

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

Verify at the official NPI Registry.