Christine I Pena, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2958 Issued in MN

Practice address

10650 County Road 81 Ste 133
Maple Grove, MN 55369-4020

Phone

(763) 445-9801

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cats Candor Therapy PA

  • Marriage & Family Therapist
  • Maple Grove, MN
  • NPI 1679357826
  Medicare reassignment NPD Authorized official
• Relate Inc

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1548620941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 NOID DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282206",
            "telephone_number": "763-445-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 COUNTY ROAD 81 STE 133",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694020",
            "telephone_number": "763-445-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18336 Joplin St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301773",
            "country_code": "US",
            "telephone_number": "763-350-9687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "CHRISTINE",
        "middle_name": "I",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maisa Alves Pebbles, CNP
• Joan D. Pechauer, LMFT
• Sara Pederson, MA OTR/L
• Jennifer Ann Pelkey, OTR/L
• Michelle K. Pemble-Frazey, PHD
• Leighton Michael Penn
• Nina Rachel Perdue, M.D.
• Persevere Wellness LLC
• Pery Home Care LLC
• Beth Ann Pesta, PT

• Marriage & Family Therapist in Maple Grove, MN
• Providers in Maple Grove, 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 Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.