Individual provider Active NPI

Rollen Benjamin Twogood, LMFT

  • Marriage & Family Therapist
  • Brooklyn Center, MN
National Provider Identifier
1689159840
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2789 Issued in MN
Practice address
5910 Shingle Creek Pkwy Ste 150
Brooklyn Center, MN 55430-2324
Phone
(763) 569-5200
Fax
(763) 569-5201
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 2789 MN Primary

Addresses

Primary practice location

5910 Shingle Creek Pkwy Ste 150
Brooklyn Center, MN 55430-2324

Mailing address

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone (763) 746-2421

Other practice location 1

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone (763) 746-2419 ext. 22419

Other practice location 2

6425 Nicollet Ave
Richfield, MN 55423-1675
Phone (612) 861-1675

Other practice location 3

1001 Highway 7 Ste 309
Hopkins, MN 55305-4737
Phone (952) 426-6601

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
I20240214001533 MN Practitioner - Marriage and Family Therapist 6002250479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1900
Phone (952) 224-2282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
West Central Counseling LLC Marriage & Family Therapist PastSince Jun 6, 2021 Accepting new patients
Youable Emotional Health Services Past Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

7525 Mitchell Rd
Ste 100
Eden Prairie, MN 55344
Phone (952) 224-2282

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1689159840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 109",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274363",
            "telephone_number": "763-746-2421",
            "fax_number": "763-746-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 SHINGLE CREEK PKWY STE 150",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302324",
            "telephone_number": "763-569-5200",
            "fax_number": "763-569-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Decatur Ave N Ste 109",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274363",
            "country_code": "US",
            "telephone_number": "763-746-2419 x22419",
            "fax_number": "763-746-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554231675",
            "country_code": "US",
            "telephone_number": "612-861-1675",
            "fax_number": "612-861-3446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Highway 7 Ste 309",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553054737",
            "country_code": "US",
            "telephone_number": "952-426-6601",
            "fax_number": "952-938-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWOGOOD",
        "first_name": "ROLLEN",
        "middle_name": "BENJAMIN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.