Individual provider Active NPI

Charlotte Louise Groves, LMFT

  • Marriage & Family Therapist
  • Hopkins, MN
National Provider Identifier
1790833853
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
652-124 Issued in WI
Practice address
1030 Feltl CT Apt 347
Hopkins, MN 55343-3905
Phone
(192) 029-0010
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 652-124 WI Primary

Addresses

Primary practice location

1030 Feltl CT Apt 347
Hopkins, MN 55343-3905

Mailing address

1030 Feltl CT Apt 347
Hopkins, MN 55343-3905
Phone (920) 290-0107

Other identifiers 1

IdentifierTypeStateIssuer
409-33800MedicaidWI

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
I20241021000701 MN Practitioner - Marriage and Family Therapist 7416489034 Practice locations: Hopkins, MN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Hopkins, MN 55343
Phone (920) 290-0107

1030 Feltl CT Apt
Suite 347
Hopkins, MN 55343-3905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
652-124WIMDMarriage & Family Therapist
4261MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Counseling PastSince Jun 17, 2024 Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1790833853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 FELTL CT APT 347",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433905",
            "telephone_number": "920-290-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FELTL CT APT 347",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433905",
            "telephone_number": "192-029-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "CHARLOTTE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "652-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409-33800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.