Individual provider Active NPI

Angela Kori Hennessy, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1578014544
Registry record updated Jun 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4 E 43Rd St Ste 201
Minneapolis, MN 55409-2018
Phone
(763) 342-0104
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3448 MN
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

4 E 43Rd St Ste 201
Minneapolis, MN 55409-2018

Mailing address

4 E 43Rd St Ste 201
Minneapolis, MN 55409-2018
Phone (763) 342-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2024 through Nov 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kori Hennessy, Ma, LMFT PA Marriage & Family Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

4 E 43rd St
Ste 201
Minneapolis, MN 55409
Phone (763) 342-0104

812 E 48th St
Ste 5
Minneapolis, MN 55417
Phone (612) 860-6644

3754 Pleasant Ave
Ste 424W
Minneapolis, MN 55409
Phone (612) 234-5851

Organizations & group practices 1

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1578014544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E 43RD ST STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554092018",
            "telephone_number": "763-342-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E 43RD ST STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554092018",
            "telephone_number": "763-342-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "ANGELA",
        "middle_name": "KORI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3448",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.