Active NPI
Frank C Thayer, LAMFT, LADC
- Marriage & Family Therapist
- Wayzata, MN
National Provider Identifier
1700426640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3752
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3752 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Therapy LLC | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Wayzata, MN
- NPI 1699179994
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": []
}
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- Marcia Mae Swanson, L.AC.
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- Taylor J. Stephens, D.D.S, P.a. (Tailwind Pediatric Dentistry)
- Kenneth Floyd Tempero, MD, PHD
- Amanda Kay Templeton, LMT
- The Brost Clinic, PA
- The Eye Doctors Office, PA (Art of Optiks)
- Deborah A Thompson, RN
- William S. Tiede, M.D.
- Tonka Life Center
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.