Individual provider Active NPI

Marnie Lee Harper, LMFT

  • Marriage & Family Therapist
  • Chisago City, MN
National Provider Identifier
1760915565
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2712 Issued in MN
Practice address
11549 Lake LN Ste 2
Chisago City, MN 55013-9201
Phone
(651) 257-2733
Fax
(651) 257-2783
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Based Therapy Associates 12 clinicians

Practice addresses (Care Compare)

11549 Lake LN
Suite 2
Chisago City, MN 55013-9201
Phone (651) 257-2733

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240109003075 MN Practitioner - Marriage and Family Therapist 1658722145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2712MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Based Therapy Associates CurrentSince Jan 1, 2024 Accepting new patients
Family Based Therapy Associates PastSince Jan 1, 2024 Accepting new patients
Familymeans PastSince Aug 28, 1990 Accepting new patients

Locations

11549 Lake Ln
Ste 2
Chisago City, MN 55013
Phone (651) 257-2733

199 Coon Rapids Blvd NW
Ste 306
Minneapolis, MN 55433
Phone (763) 780-1520

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2712 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

11549 Lake LN Ste 2
Chisago City, MN 55013-9201

Mailing address

11549 Lake LN Ste 2
Chisago City, MN 55013-9201
Phone (651) 257-2733

Other practice location 1

1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone (651) 439-4840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760915565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11549 LAKE LN STE 2",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139201",
            "telephone_number": "651-257-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 LAKE LN STE 2",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139201",
            "telephone_number": "651-257-2733",
            "fax_number": "651-257-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Northwestern Ave S",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827534",
            "country_code": "US",
            "telephone_number": "651-439-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MARNIE",
        "middle_name": "LEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisago City, MN

Sources for this page

Verify at the official NPI Registry.