Individual provider Active NPI

Emily M Kotajarvi, MS, MFT

  • Marriage & Family Therapist
  • New Richmond, WI
National Provider Identifier
1629581780
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
448-228 Issued in WI
Practice address
150 W 1St St Ste 270
New Richmond, WI 54017-1770
Phone
(715) 246-4840
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 448-228 WI Primary

Addresses

Primary practice location

150 W 1St St Ste 270
New Richmond, WI 54017-1770

Mailing address

150 W 1St St Ste 270
New Richmond, WI 54017-1770

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 Science

State licenses

LicenseStateTypeSpecialty
448-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC PastSince Feb 12, 2025 Accepting new patients
Modern Thrive Counseling LLC Marriage & Family Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1629581780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 270",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 1ST ST STE 270",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171770",
            "telephone_number": "715-246-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAJARVI",
        "first_name": "EMILY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "448-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.