Audrey Patricia Warrus, MA LP & LMFT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0165 Issued in MN

Practice address

2006 First Ave N
Suite B10
Anoka, MN 55303-2255

Phone

(763) 422-8135

Fax

(763) 422-1943

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1679619050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FIRST AVE N",
            "address_2": "SUITE B10",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032255",
            "telephone_number": "763-422-8135",
            "fax_number": "763-422-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FIRST AVE N",
            "address_2": "SUITE B10",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032255",
            "telephone_number": "763-422-8135",
            "fax_number": "763-422-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRUS",
        "first_name": "AUDREY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MA LP & LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0165",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT0754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00021",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH ONLINE USER NO",
            "identifier": "53193727",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NO",
            "identifier": "00720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6264783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NO",
            "identifier": "6C49SWA",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "535248700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NO",
            "identifier": "6C494WA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walker Senior Housing Corporation III
• Amy Wallraff, MS CCC/SLP
• Savannah Walter
• Nicole T. Ward, PSYD, LP
• Anna Kirsten Warnes, APRN-NP
• Jaydin Washington
• Gregory Albert Weber, M.D.
• Angela Wefel, LICSW
• Larry Dean Weight, LICSW
• Jordan Weil, MD

• Clinical Psychologist in Anoka, MN
• Providers in Anoka, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.