Organization Active NPI

Lois J Meyer

  • Marriage & Family Therapist
  • Grand Rapids, MN
National Provider Identifier
1720162233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1321 Issued in MN
Legal business name
LOIS J MEYER
Practice address
412 N Pokegama Ave Ste 10
Grand Rapids, MN 55744-2684
Phone
(218) 327-7267
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loie J Meyer, LAMFT
Title
Owner
Phone
(218) 327-7267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1321 MN Primary

Addresses

Primary practice location

412 N Pokegama Ave Ste 10
Grand Rapids, MN 55744-2684

Mailing address

412 N Pokegama Ave Ste 10
Grand Rapids, MN 55744-2684

Other identifiers 2

IdentifierTypeStateIssuer
119617OtherMNHEALTH PARTNERS - MN
108H7MEOtherMNBCBS GROUP

National Provider Directory

National Provider Directory

Locations

412 N Pokegama Ave Ste 10
Grand Rapids, MN 55744
Phone (218) 327-7267

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720162233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N POKEGAMA AVE STE 10",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N POKEGAMA AVE STE 10",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442684",
            "telephone_number": "218-327-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIS J MEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "LOIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-327-7267",
        "authorized_official_credential": "LAMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS - MN",
            "identifier": "119617",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "108H7ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.