Individual provider Active NPI

Nathan Jonathan Walz, LMFT

  • Marriage & Family Therapist
  • Little Falls, MN
National Provider Identifier
1760375018
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1906 5TH Ave SE
Little Falls, MN 56345-3317
Phone
(320) 639-2025
NPI assigned
Jun 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1906 5TH Ave SE
Little Falls, MN 56345-3317

Mailing address

1109 10TH Ave N
Sartell, MN 56377-2265
Phone (320) 282-9461

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
I20250612001046 MN Practitioner - Marriage and Family Therapist 2466962907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Pines Mental Health Center IncGroup PAC ID 8628979697, 12 clinicians

Practice addresses (Care Compare)

1906 5TH Ave SE
Little Falls, MN 56345-3317
Phone (320) 632-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Pines Mental Health Center, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Northern Pines Mental Health Center, Inc. PastSince Jun 5, 2025 Accepting new patients

Locations

13 3rd St NE
Aitkin, MN 56431
Phone (218) 928-8003

823 Maple St
Brainerd, MN 56401
Phone (218) 454-3826

520 NW 5th St
Brainerd, MN 56401
Phone (218) 821-7818

1906 5th Ave SE
Little Falls, MN 56345
Phone (320) 492-2946

16 9th St SE
Long Prairie, MN 56347
Phone (320) 732-6602

200 4th St NE
Staples, MN 56479
Phone (218) 541-5043

11 2nd St SW
Ste 1
Wadena, MN 56482
Phone (218) 631-1714

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1760375018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 10TH AVE N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772265",
            "telephone_number": "320-282-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 5TH AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453317",
            "telephone_number": "320-639-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALZ",
        "first_name": "NATHAN",
        "middle_name": "JONATHAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.