Individual provider Active NPI

Erin Elizabeth Shobe, M.A., LMFT

  • Marriage & Family Therapist
  • Bloomington, MN
National Provider Identifier
1740409242
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1560 Issued in MN
Practice address
5221 Viking Dr Ste 300
Bloomington, MN 55435-5323
Phone
(612) 849-4792
Fax
(612) 677-3722
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1560 MN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5221 Viking Dr Ste 300
Bloomington, MN 55435-5323

Mailing address

5221 Viking Dr Ste 300
Bloomington, MN 55435-5323
Phone (612) 849-4792

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
I20240601000226 MN Practitioner - Marriage and Family Therapist 0446792741 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Counseling and Therapy Center Current Accepting new patients
Minnesota Counseling and Therapy Center, Inc CurrentSince Aug 3, 2007 Accepting new patients

Locations

5221 Viking Dr
Ste 300
Minneapolis, MN 55435
Phone (612) 849-4792

Organizations & group practices 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1740409242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355323",
            "telephone_number": "612-849-4792",
            "fax_number": "612-677-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 VIKING DR STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355323",
            "telephone_number": "612-849-4792",
            "fax_number": "612-677-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1560",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.