Individual provider Active NPI

John Carl Torkelson, MDIV, LMFT

  • Marriage & Family Therapist
  • Saint Michael, MN
National Provider Identifier
1639491749
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2533 Issued in MN
Practice address
703 Thielen Dr
Saint Michael, MN 55376-9613
Phone
(763) 515-4563
Fax
(763) 497-0552
NPI assigned
Feb 17, 2010
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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 2533 MN Primary

Addresses

Primary practice location

703 Thielen Dr
Saint Michael, MN 55376-9613

Mailing address

703 Thielen Dr
Saint Michael, MN 55376-9613
Phone (763) 515-4563

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
I20250128002206 MN Practitioner - Marriage and Family Therapist 6204365810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2533MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwinds Counseling Services, P.a. Marriage & Family Therapist CurrentSince May 27, 2026 Accepting new patients
Divine Life LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

506 Freeport Ave NW
#2
Elk River, MN 55330
Phone (763) 200-4006

21395 John Milless Dr
Ste 400
Rogers, MN 55374
Phone (763) 424-1688

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1639491749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORKELSON",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "credential": "MDIV, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

Verify at the official NPI Registry.