Individual provider Active NPI

Janet K Schlegel, MA, LMFT

  • Marriage & Family Therapist
  • Blaine, MN
National Provider Identifier
1710081948
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT1604 Issued in MN
Practice address
11925 Central Ave NE
Blaine, MN 55434-3911
Phone
(763) 746-0842
Fax
(763) 220-6025
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 LAMFT1604 MN Primary

Addresses

Primary practice location

11925 Central Ave NE
Blaine, MN 55434-3911

Mailing address

11925 Central Ave NE Ste 106
Blaine, MN 55434-3911
Phone (763) 746-0842

Other practice location 1

11188 Zealand Ave N
Champlin, MN 55316-3594
Phone (763) 746-8042

Other names 1

  • Ms. Janet K Boeckel Former name

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
I20240515004071 MN Practitioner - Marriage and Family Therapist 5698001147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAMFT1604MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Work Counseling, LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

11188 Zealand Ave N
Champlin, MN 55316
Phone 7637460842 ext. 1

11925 Highway 65 NE
Minneapolis, MN 55434
Phone (763) 746-0842

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1710081948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 CENTRAL AVE NE STE 106",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-746-0842",
            "fax_number": "763-208-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 CENTRAL AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-746-0842",
            "fax_number": "763-220-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11188 Zealand Ave N",
            "address_purpose": "LOCATION",
            "city": "Champlin",
            "state": "MN",
            "postal_code": "553163594",
            "country_code": "US",
            "telephone_number": "763-746-8042",
            "fax_number": "763-220-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLEGEL",
        "first_name": "JANET",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LAMFT1604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BOECKEL",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

Verify at the official NPI Registry.