Authentic Relationships LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AUTHENTIC RELATIONSHIPS LLC

Practice address

3209 W 76TH St
Edina, MN 55435-5246

Phone

(612) 889-4013

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Michele Michaelson, LMFTNPI 1467904342

Title

Owner

Phone

(612) 889-4013

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.

• Michele Mei Michaelson

  • Marriage & Family Therapist
  • Richfield, MN
  • NPI 1467904342
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1629895115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "612-889-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "612-889-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC RELATIONSHIPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-889-4013",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Edina, MN
• Providers in Edina, 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 Sep 25, 2024; 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.