Individual provider Active NPI

Elizabeth A Ostroviak, LMFT

  • Marriage & Family Therapist
  • Chanhassen, MN
National Provider Identifier
1508158023
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2216 Issued in MN
Practice address
7945 Stone Creek Dr Ste 140
Chanhassen, MN 55317-4606
Phone
(952) 974-3999
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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 2216 MN Primary

Addresses

Primary practice location

7945 Stone Creek Dr Ste 140
Chanhassen, MN 55317-4606

Mailing address

16524 Jealam Rd
Minnetonka, MN 55345-5316
Phone (218) 821-0784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2216MNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1508158023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16524 JEALAM RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455316",
            "telephone_number": "218-821-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "952-974-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROVIAK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.