Individual provider Active NPI

Margaret Athena Light, LMFT

  • Marriage & Family Therapist
  • Cambridge, MN
National Provider Identifier
1639712789
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3710 Issued in MN
Practice address
237 2ND Ave SW Ste 117
Cambridge, MN 55008-1500
Phone
(763) 689-9407
NPI assigned
Oct 22, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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 3710 MN Primary

Addresses

Primary practice location

237 2ND Ave SW Ste 117
Cambridge, MN 55008-1500

Mailing address

237 2ND Ave SW Ste 117
Cambridge, MN 55008-1500
Phone (763) 689-9407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2024 through Feb 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrium Therapy Services P.L.L.C. CurrentSince May 12, 2024 Accepting new patients
Family Based Therapy Associates CurrentSince Jan 1, 2024 Accepting new patients

Locations

237 2nd Ave SW
Cambridge, MN 55008
Phone (651) 245-5217

237 2nd Ave SW
Ste 117
Cambridge, MN 55008
Phone (763) 200-3411

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1639712789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 2ND AVE SW STE 117",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081500",
            "telephone_number": "763-689-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 2ND AVE SW STE 117",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081500",
            "telephone_number": "763-689-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "MARGARET",
        "middle_name": "ATHENA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

Verify at the official NPI Registry.