Individual provider Active NPI

Rachel Elizabeth Peglow, LMFT

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1710216890
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1784 Issued in MN
Practice address
501 Highway 13 E
Suite 108
Burnsville, MN 55337-2884
Phone
(952) 564-3000
Fax
(952) 564-3031
NPI assigned
Dec 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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 1784 MN Primary

Addresses

Primary practice location

501 Highway 13 E
Suite 108
Burnsville, MN 55337-2884

Mailing address

501 Highway 13 E
Suite 108
Burnsville, MN 55337-2884
Phone (952) 564-3000

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
I20240603003882 MN Practitioner - Marriage and Family Therapist 3476095670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Therapy Services Inc. CurrentSince May 1, 2024 Accepting new patients
Community Drug & Alcohol Services Inc Past Accepting new patients
Community Drug & Alcohol Services Inc Past Accepting new patients

Locations

12 1st Ave S
Buffalo, MN 55313
Phone (763) 682-7774

Organizations & group practices 3

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": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1710216890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 13 E",
            "address_2": "SUITE 108",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372884",
            "telephone_number": "952-564-3000",
            "fax_number": "952-564-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHWAY 13 E",
            "address_2": "SUITE 108",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372884",
            "telephone_number": "952-564-3000",
            "fax_number": "952-564-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGLOW",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.