Morgan Brumbaugh
Individual provider Active NPI Marriage & Family Therapist · Rogers, MN
NPI 1598166100 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1598166100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3303 (MN)
- Practice address
- 14000 Northdale Blvd Ste I
Rogers, MN 55374-4663 - Phone
- (763) 575-8086
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3303 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanda Counseling and Psychological Services | Current |
Accepting new patients | |
| Lorenz Clinic, LLC | Marriage & Family Therapist | Past |
Accepting new patients |
Locations
14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086
Interoperability endpoints
- https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 3303 | MN | Yes |
Addresses
Primary practice location
14000 Northdale Blvd Ste I
Rogers, MN 55374-4663
Mailing address
14000 Northdale Blvd Ste I
Rogers, MN 55374-4663
Phone (637) 575-8086
Other names
- Morgan Lacey
Other providers in Rogers, MN
- Stephanie L Blossomgame
- Kimberly Hope-Lynn Bonneson
- Kenyetta Booker
- Kayla Marie Bramhall
- Bridging Hope Counseling Services LLC
- Brunetti Consulting, Inc
- Cheri L Brunetti
- David Gene Brunetti
- Btwins Mental Health PSC
- Emma Elizabeth Calcamuggio
All providers in Rogers, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.