Individual provider Active NPI

Marie Grace, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1568876381
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2916 Issued in MN
Practice address
357 Kellogg Blvd E
Saint Paul, MN 55101-1411
Phone
(612) 578-2167
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 2916 MN Primary

Addresses

Primary practice location

357 Kellogg Blvd E
Saint Paul, MN 55101-1411

Mailing address

357 Kellogg Blvd E
Saint Paul, MN 55101-1411
Phone (612) 578-2167

Other practice location 1

1500 1st Ave NE Ste 111D
Rochester, MN 55906-4170
Phone (612) 578-2167

Other practice location 2

603 Vine St
Brainerd, MN 56401-4058
Phone (612) 578-2167

Other identifiers 1

IdentifierTypeStateIssuer
1568876381MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mgrace@skippedpartscounseling.com Direct

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
I20240214002440 MN Practitioner - Marriage and Family Therapist 7618311903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2916MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zumbro Valley Health Center CurrentSince Jan 1, 2024 Accepting new patients
Skipped Parts LLC Current Accepting new patients

Locations

343 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 289-2089

357 Kellogg Blvd E
Saint Paul, MN 55101
Phone (612) 578-2167

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1568876381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KELLOGG BLVD E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011411",
            "telephone_number": "612-578-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KELLOGG BLVD E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011411",
            "telephone_number": "612-578-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 1st Ave NE Ste 111D",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559064170",
            "country_code": "US",
            "telephone_number": "612-578-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Vine St",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564014058",
            "country_code": "US",
            "telephone_number": "612-578-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568876381",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mgrace@skippedpartscounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "357 Kellogg Blvd E",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551011411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.