Christine Jayne Harnack, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0643 Issued in MN

Practice address

220 Railroad St SE
Pine City, MN 55063-1540

Phone

(320) 629-7600

Fax

(651) 250-0071

NPI assigned

May 18, 2006

Last updated

Jan 11, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1568415735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 BUCKINGHAM CT",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551273682",
            "telephone_number": "651-429-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RAILROAD ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631540",
            "telephone_number": "320-629-7600",
            "fax_number": "651-250-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNACK",
        "first_name": "CHRISTINE",
        "middle_name": "JAYNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "0643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518320100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Pine City, MN
• Providers in Pine City, 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 Jan 11, 2021; 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.