Active NPI
Duane Cleabert Bjerke, MA, LMFT
- Marriage & Family Therapist
- Blaine, MN
National Provider Identifier
1558458562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1119
- Practice address
- 1201 89TH Ave NE
Suite 390
Blaine, MN 55434-3370 - Phone
- (612) 879-5361
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1119 | MN | Primary |
Addresses
Primary practice location
1201 89TH Ave NE
Suite 390
Blaine, MN 55434-3370
Mailing address
11720 Brunswick Ave N
Champlin, MN 55316-2485
Phone (763) 323-3375
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1119 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558458562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BRUNSWICK AVE N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553162485",
"telephone_number": "763-323-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 89TH AVE NE",
"address_2": "SUITE 390",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343370",
"telephone_number": "612-879-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJERKE",
"first_name": "DUANE",
"middle_name": "CLEABERT",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.