Individual provider Active NPI

Constance Lee Studer, MA, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1790917920
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1760 Issued in MN
Practice address
3137 Hennepin Ave S
Suite 104
Minneapolis, MN 55408-2601
Phone
(612) 275-1657
Fax
(612) 435-2378
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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 1760 MN Primary

Addresses

Primary practice location

3137 Hennepin Ave S
Suite 104
Minneapolis, MN 55408-2601

Mailing address

3137 Hennepin Ave S
Suite 104
Minneapolis, MN 55408-2601
Phone (612) 275-1657

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

State licenses

LicenseStateTypeSpecialty
1760MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1790917920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 HENNEPIN AVE S",
            "address_2": "SUITE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082601",
            "telephone_number": "612-275-1657",
            "fax_number": "612-435-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 HENNEPIN AVE S",
            "address_2": "SUITE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082601",
            "telephone_number": "612-275-1657",
            "fax_number": "612-435-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDER",
        "first_name": "CONSTANCE",
        "middle_name": "LEE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.