Active NPI
Mariah Lord, LMFT
- Marriage & Family Therapist
- Saint Paul, MN
National Provider Identifier
1750035184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4578
- Practice address
- 2388 University Ave W # 202
Saint Paul, MN 55114-1769 - Phone
- (612) 351-2260
- Fax
- (651) 300-2702
- NPI assigned
- Feb 4, 2022
- Last updated
- Apr 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MN | ||
| Marriage & Family Therapist | 106H00000X | 4578 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2388 University Ave W # 202
Saint Paul, MN 55114-1769
Mailing address
391 Grand Ave Apt 307
Saint Paul, MN 55102-2630
Phone (920) 296-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evoke Therapy Services, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Indigo Counseling Center | Current | Accepting new patients |
Locations
2388 University Ave W
#202
Saint Paul, MN 55114
Phone (612) 293-5124
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Saint Paul, MN
- NPI 1447046230
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1699249342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1750035184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 GRAND AVE APT 307",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022630",
"telephone_number": "920-296-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2388 UNIVERSITY AVE W # 202",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141769",
"telephone_number": "612-351-2260",
"fax_number": "651-300-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "MARIAH",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "4578",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.