Individual provider Active NPI

Mathew Meyers, MA, LMFT

  • Marriage & Family Therapist
  • Saint Louis Park, MN
National Provider Identifier
1760839716
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2560 Issued in MN
Practice address
1000 Shelard Pkwy
Suite 220
Saint Louis Park, MN 55426-1053
Phone
(952) 595-5967
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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 2560 MN Primary

Addresses

Primary practice location

1000 Shelard Pkwy
Suite 220
Saint Louis Park, MN 55426-1053

Mailing address

1000 Shelard Pkwy
Suite 220
Saint Louis Park, MN 55426-1053
Phone (952) 595-5967

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1760839716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SHELARD PKWY",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261053",
            "telephone_number": "952-595-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SHELARD PKWY",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554261053",
            "telephone_number": "952-595-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "MATHEW",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.