Individual provider Active NPI

Asuka Mizobuchi, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1801114228
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2167 Issued in MN
Practice address
381 East Robie Street
St. Paul, MN 55107-2415
Phone
(651) 222-0757
Fax
(651) 290-2703
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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 2167 MN Primary

Addresses

Primary practice location

381 East Robie Street
St. Paul, MN 55107-2415

Mailing address

381 East Robie Street
St. Paul, MN 55107-2415
Phone (651) 222-0757

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
I20260415000259 MN Practitioner - Marriage and Family Therapist 1759857030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

381 Robie St E
Saint Paul, MN 55107-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1801114228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 EAST ROBIE STREET",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551072415",
            "telephone_number": "651-222-0757",
            "fax_number": "651-290-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 EAST ROBIE STREET",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551072415",
            "telephone_number": "651-222-0757",
            "fax_number": "651-290-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZOBUCHI",
        "first_name": "ASUKA",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.