Individual provider Active NPI

Lori J. Anafarta, LMFT

  • Marriage & Family Therapist
  • Forest Lake, MN
National Provider Identifier
1609188382
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2028 Issued in MN
Practice address
344 1St Ave SW
Forest Lake, MN 55025-1508
Phone
(651) 775-2084
NPI assigned
Jul 9, 2010
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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 2028 MN Primary

Addresses

Primary practice location

344 1St Ave SW
Forest Lake, MN 55025-1508

Mailing address

344 1St Ave SW
Forest Lake, MN 55025-1508
Phone (651) 775-2084

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

State licenses

LicenseStateTypeSpecialty
2028MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Diagnosis Counseling, LLC Marriage & Family Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1609188382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 1ST AVE SW",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251508",
            "telephone_number": "651-775-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 1ST AVE SW",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251508",
            "telephone_number": "651-775-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAFARTA",
        "first_name": "LORI",
        "middle_name": "J.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.