Active NPI
Kathy Ann Watt, LMFT
- Marriage & Family Therapist
- Crystal, MN
National Provider Identifier
1538406608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2161
- Practice address
- 2717 Brookridge Ave
Crystal, MN 55422-3311 - Phone
- (763) 544-1045
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2161 | MN | Primary |
Addresses
Primary practice location
2717 Brookridge Ave
Crystal, MN 55422-3311
Mailing address
2717 Brookridge Ave
Crystal, MN 55422-3311
Phone (763) 544-1045
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1538406608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 BROOKRIDGE AVE",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554223311",
"telephone_number": "763-544-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 BROOKRIDGE AVE",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554223311",
"telephone_number": "763-544-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "KATHY",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.