Kathleen a. O'Brien

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1439 Issued in MN

Legal business name

KATHLEEN A. O'BRIEN

Practice address

9181 Chesshire LN N
Maple Grove, MN 55369-8858

Phone

(763) 420-7308

Fax

(763) 420-7308

NPI assigned

Feb 2, 2010

Last updated

Feb 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen O'Brien A. O'Brien, LMFT

Title

Executive Director

Phone

(763) 420-7308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1710219779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9181 CHESSHIRE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698858",
            "telephone_number": "763-420-7308",
            "fax_number": "763-420-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 CHESSHIRE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553698858",
            "telephone_number": "763-420-7308",
            "fax_number": "763-420-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A. O'BRIEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KATHLEEN O'BRIEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-420-7308",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Maple Grove, MN
• Providers in Maple Grove, 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 Feb 2, 2010; 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.