Active NPI
Paul Reeth, MA, LMFT
- Marriage & Family Therapist
- Burnsville, MN
National Provider Identifier
1629520796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3304
- Practice address
- 14551 Judicial Rd
Burnsville, MN 55306-4841 - Phone
- (952) 898-5020
- Fax
- (952) 898-5858
- NPI assigned
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3304 | MN | Primary |
Addresses
Primary practice location
14551 Judicial Rd
Burnsville, MN 55306-4841
Mailing address
14551 Judicial Rd
Burnsville, MN 55306-4841
Phone (952) 898-5020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3304 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1629520796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14551 JUDICIAL RD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064841",
"telephone_number": "952-898-5020",
"fax_number": "952-898-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14551 JUDICIAL RD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553064841",
"telephone_number": "952-898-5020",
"fax_number": "952-898-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REETH",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-25",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.