Individual provider Active NPI

Katy S. Wait, M.A. L.M.F.T.

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1487868774
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1157 Issued in MN
Practice address
1564 Summit Shores CT
Burnsville, MN 55306-5820
Phone
(507) 450-3152
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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 1157 MN Primary

Addresses

Primary practice location

1564 Summit Shores CT
Burnsville, MN 55306-5820

Mailing address

1500 McAndrews Rd W
Suite 230
Burnsville, MN 55337-4432
Phone (507) 450-3152

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
I20251203003034 MN Practitioner - Marriage and Family Therapist 8527551969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Marquette Ave
Minneapolis, MN 55403-2419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1157MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster Counseling Center CurrentSince Oct 1, 2025 Accepting new patients
Full Circle Therapy Past Accepting new patients

Locations

1200 Marquette Ave
Minneapolis, MN 55403
Phone (612) 540-2911

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1487868774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W",
            "address_2": "SUITE 230",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374432",
            "telephone_number": "507-450-3152",
            "fax_number": "952-892-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 SUMMIT SHORES CT",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065820",
            "telephone_number": "507-450-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIT",
        "first_name": "KATY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "M.A. L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.