Theresa J Schreifels, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2474 Issued in MN

Practice address

1250 Johnson Rd
Saint Cloud, MN 56304-1255

Phone

(320) 253-8110

Fax

(320) 253-1107

NPI assigned

Feb 1, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracy Schreifels Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ellison Center

  • Marriage & Family Therapist
  • Saint Cloud, MN
  • NPI 1740744242
  Medicare reassignment NPD Authorized official
• Developmental Impact LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Cloud, MN
  • NPI 1669901393
  Authorized official Same address or phone

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720327364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 8TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033420",
            "telephone_number": "320-420-2234",
            "fax_number": "320-251-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JOHNSON RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563041255",
            "telephone_number": "320-253-8110",
            "fax_number": "320-253-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 8th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563033420",
            "country_code": "US",
            "telephone_number": "320-420-2234",
            "fax_number": "320-251-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREIFELS",
        "first_name": "THERESA",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720327364",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "SCHREIFELS",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Schouweiler, MD
• Kari Schramel, LPN
• Stephanie D Schramel, REGISTERED NURSE
• Christopher Steven Schreder
• Mari Faye Schreder
• Jodie Schreiner
• Taylor Rae Schreiner, CNP
• Emily Frances Schroeder, LADC, LICSW
• Joyce Emma Schroeder
• Kristen Jean Schroeder, PHARMD

• Marriage & Family Therapist in Saint Cloud, MN
• Providers in Saint Cloud, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.