Teresa A Solberg Moore, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2163 Issued in MN

Practice address

7580 160TH St W
Lakeville, MN 55044-8348

Phone

(952) 898-1133

Fax

(952) 435-6797

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Life Development Resources, PA

  • Community/Behavioral Health Agency
  • Lakeville, MN
  • NPI 1902953169

  Marriage & Family Therapist

  NPD (past)
• True North Therapy LLC

  • Community/Behavioral Health Agency
  • Lakeville, MN
  • NPI 1649715400
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1780967042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRAIL",
            "address_2": "STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "612-532-6993",
            "fax_number": "952-435-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 160TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448348",
            "telephone_number": "952-898-1133",
            "fax_number": "952-435-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10591 165th St",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "55044",
            "country_code": "US",
            "telephone_number": "952-898-1133 x8415",
            "fax_number": "952-435-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLBERG MOORE",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Nikle Smith, CNP
• Shay Smith
• Snyders Drug (Snyder Drug Stores Inc)
• Ashlee Alyssa Achtenberg Soberg, MA, BCBA
• Hira Sohail, DDS
• Andrea Katrina Soles, LMFT
• Joel Sollom, OD
• Abigail Somerville
• Melissa Catherine Gabbert Soukup, PHARM. D.
• Steven John Soukup

• Marriage & Family Therapist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.