Colleen Pederson LMFT LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1324 Issued in MN

Legal business name

COLLEEN PEDERSON LMFT LLC

Practice address

7382 Kirkwood CT
Maple Grove, MN 55369-5270

Phone

(320) 761-3230

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Colleen Pederson, LMFTNPI 1598861056

Title

Owner

Phone

(320) 761-3230

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Marie Pederson, LMFT

  • Marriage & Family Therapist
  • Willmar, MN
  • NPI 1598861056
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598881559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7801",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7382 KIRKWOOD CT",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695270",
            "telephone_number": "320-761-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN PEDERSON LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-761-3230",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Margaret Colangelo, APRN, CNP
• Michael Lawrence Colbert, DDS
• Heidi G H Cole, MD
• Courtney Coleman
• Collaborative Counseling LLC
• Karen L Collins, RN, CNP, RDMS
• Patricia Collins, MA LP
• Sarah Faith Collins, L.P.
• Lauren Christine Collison, CNP
• Crystal Lynn Colvin, LMT

• Marriage & Family Therapist in Maple Grove, MN
• Providers in Maple Grove, 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 Aug 22, 2020; 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.