Lyndsie A Standerwick, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3679 Issued in MN

Practice address

5666 Lincoln Dr Ste 101
Edina, MN 55436-1673

Phone

(612) 361-2247

NPI assigned

Sep 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Adventures in Healing Family Therapy LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1578145017
  NPD Authorized official

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1700360963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 LINCOLN DR STE 101",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361673",
            "telephone_number": "612-361-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 LINCOLN DR STE 101",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361673",
            "telephone_number": "612-361-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDERWICK",
        "first_name": "LYNDSIE",
        "middle_name": "A",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Hanson Ma LP LLC (Lilium Center)
• Carole A Stafford, MSW
• Neil Edward Staib Jr., MD
• Kimberly A Stakston, ATC
• Megan Landry Stalpes, M.D.
• Andrew Stang
• Amanda Louise Stanhope, CNP
• Stanley P. Williamson, D.D.S., P.a.
• Tracy A Stanz, CRNA
• Tessa Stapelmann, PSYD, LP

• Marriage & Family Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.