Active NPI
Marnie Lee Harper, LMFT
- Marriage & Family Therapist
- Chisago City, MN
National Provider Identifier
1760915565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2712
- 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.
-
- Mental Health Counselor
- Coon Rapids, MN
- NPI 1194762005
-
- Community/Behavioral Health Agency
- Chisago City, MN
- NPI 1891100293
-
- Mental Health Counselor
- Stillwater, MN
- NPI 1881690899
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2712 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Based Therapy Associates | Current | Accepting new patients | |
| Family Based Therapy Associates | Past | Accepting new patients | |
| Familymeans | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2712 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.