Individual provider Active NPI

Noel Kern, LMFT

  • Marriage & Family Therapist
  • Sartell, MN
National Provider Identifier
1629519434
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3020 Issued in MN
Practice address
110 14TH Ave E
Sartell, MN 56377-4644
Phone
(320) 202-1400
Fax
(320) 202-8662
NPI assigned
Mar 13, 2017
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 3020 MN Primary

Addresses

Primary practice location

110 14TH Ave E
Sartell, MN 56377-4644

Mailing address

2408 Field CT
Saint Cloud, MN 56301-4994
Phone (320) 333-9828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003003901 MN Practitioner - Marriage and Family Therapist 1557892361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attacure LLCGroup PAC ID 7113467440, 5 clinicians

Practice addresses (Care Compare)

620 N Benton Dr
Sauk Rapids, MN 56379-1539

720 8TH Ave N
Saint Cloud, MN 56303-3420
Phone (320) 407-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Attacure, LLC Marriage & Family Therapist CurrentSince Jul 26, 2024 Accepting new patients
Core Professional Services, P.a. PastSince Apr 26, 2024 Accepting new patients

Locations

720 8th Ave N
Saint Cloud, MN 56303
Phone (320) 333-9228

Organizations & group practices 2

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1629519434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 FIELD CT",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014994",
            "telephone_number": "320-333-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 14TH AVE E",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774644",
            "telephone_number": "320-202-1400",
            "fax_number": "320-202-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "NOEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.