Individual provider Active NPI

Frank C Thayer, LAMFT, LADC

  • Marriage & Family Therapist
  • Wayzata, MN
National Provider Identifier
1700426640
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3752 Issued in MN
Practice address
3701 Shoreline Dr Ste 102a
Wayzata, MN 55391-4000
Phone
(952) 314-7533
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 3752 MN Primary

Addresses

Primary practice location

3701 Shoreline Dr Ste 102a
Wayzata, MN 55391-4000

Mailing address

11424 Kell Rd
Bloomington, MN 55437-3539
Phone (952) 686-3606

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

State licenses

LicenseStateTypeSpecialty
3752MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Family Therapy LLC Marriage & Family Therapist CurrentSince Mar 19, 2025 Accepting new patients

Locations

3701 Shoreline Dr
Ste 102A
Wayzata, MN 55391
Phone (651) 231-7471

Organizations & group practices 1

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1700426640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 KELL RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373539",
            "telephone_number": "952-686-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SHORELINE DR STE 102A",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914000",
            "telephone_number": "952-314-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "FRANK",
        "middle_name": "C",
        "credential": "LAMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.