Ervin Counseling and Family Life Ministries, P.a.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1114 Issued in MN

Legal business name

ERVIN COUNSELING AND FAMILY LIFE MINISTRIES, P.A.

Doing business as

Ervin Counseling

Practice address

7400 Metro Blvd Ste 220
Edina, MN 55439-2321

Phone

(952) 345-4510

Fax

(952) 345-4518

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Bruce David Ervin, LMFTNPI 1669598728

Title

President

Phone

(952) 345-4510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ervin Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce David Ervin, MA, LMFT

  • Marriage & Family Therapist
  • Edina, MN
  • NPI 1669598728
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Jean Ervin, LMFT

  • Marriage & Family Therapist
  • Edina, MN
  • NPI 1891816260
  Medicare reassignment Care Compare group NPD
• Stephen Wayne Peterson, LPCC

  • Professional Counselor
  • Edina, MN
  • NPI 1003284886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1497880108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "952-345-4510",
            "fax_number": "952-345-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392321",
            "telephone_number": "952-345-4510",
            "fax_number": "952-345-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERVIN COUNSELING AND FAMILY LIFE MINISTRIES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-345-4510",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PROVIDER #",
            "identifier": "180P7ER",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ervin Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Ruth Erickson, DDS
• Paul A Erickson, MD
• Erin Peterson, Inc.
• Erin Price Inc
• Eric Ernst, M.D.
• Bruce David Ervin, MA, LMFT
• Lisa Jean Ervin, LMFT
• Cecille Nazareno Esguerra, MSW, LICSW
• Suzanne Marie Espenson, M.D.
• Murad Mohammed Essak

• Marriage & Family Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.