Individual provider Active NPI

Rebecca J Adams, MA, LMFT

  • Marriage & Family Therapist
  • Osseo, MN
National Provider Identifier
1578837555
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2062 Issued in MN
Practice address
411 3Rd St SE
Osseo, MN 55369-1606
Phone
(763) 600-7572
Fax
(844) 407-4565
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2062 MN Primary

Addresses

Primary practice location

411 3Rd St SE
Osseo, MN 55369-1606

Mailing address

1922 Malvern St.
Lauderdale, MN 55113
Phone (763) 600-7572

Other practice location 1

21000 Rogers Dr Ste 200
Rogers, MN 55374-4926
Phone (612) 642-1983

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling Center, LLC Marriage & Family Therapist Current Accepting new patients

Locations

411 3rd St SE
Osseo, MN 55369
Phone (763) 259-8086

1935 County Road B2 W
Ste 240
Saint Paul, MN 55113
Phone (203) 710-1992

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578837555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 MALVERN ST.",
            "city": "LAUDERDALE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "763-600-7572",
            "fax_number": "844-407-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 3RD ST SE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691606",
            "telephone_number": "763-600-7572",
            "fax_number": "844-407-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21000 Rogers Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553744926",
            "country_code": "US",
            "telephone_number": "612-642-1983",
            "fax_number": "763-657-0819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osseo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.