Individual provider Active NPI

Kim Marcia Sanow, LMFT

  • Marriage & Family Therapist
  • Marshall, MN
National Provider Identifier
1700317062
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3433 Issued in MN
Practice address
219 N High St
Marshall, MN 56258-1471
Phone
(507) 537-4525
Fax
(507) 929-4673
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 3433 MN Primary

Addresses

Primary practice location

219 N High St
Marshall, MN 56258-1471

Mailing address

2841 170TH St
Tracy, MN 56175-2131
Phone (507) 530-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1700317062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 170TH ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561752131",
            "telephone_number": "507-530-3833",
            "fax_number": "507-929-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N HIGH ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581471",
            "telephone_number": "507-537-4525",
            "fax_number": "507-929-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANOW",
        "first_name": "KIM",
        "middle_name": "MARCIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.