Individual provider Active NPI

Elizabeth Mara Nash, MA LMFT

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1558508200
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1736 Issued in MN
Practice address
3300 Edinborough Way Ste 204
Edina, MN 55435-5958
Phone
(952) 844-0619
Fax
(952) 844-0628
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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 1736 MN Primary

Addresses

Primary practice location

3300 Edinborough Way Ste 204
Edina, MN 55435-5958

Mailing address

3300 Edinborough Way Ste 204
Edina, MN 55435-5958
Phone (952) 844-0619

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250704000494 MN Practitioner - Marriage and Family Therapist 1557437944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Behavioral Medicine Associates IncGroup PAC ID 7012083405, 2 clinicians

Practice addresses (Care Compare)

4820 77TH St W
Suite 135
Edina, MN 55435-4822
Phone (952) 380-8930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1736MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Associates, Inc. CurrentSince May 1, 1994 Accepting new patients
Arc Therapy Services, LLC Past Accepting new patients

Locations

3300 Edinborough Way
Ste 204
Edina, MN 55435
Phone (952) 844-0619

4820 77th St W
Ste 135
Minneapolis, MN 55435
Phone (952) 380-8930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1558508200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY STE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355958",
            "telephone_number": "952-844-0619",
            "fax_number": "952-844-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY STE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355958",
            "telephone_number": "952-844-0619",
            "fax_number": "952-844-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "ELIZABETH",
        "middle_name": "MARA",
        "name_prefix": "Ms.",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.