Heather Amy Penm, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3769 Issued in MN

Practice address

1519 Central Pkwy Ste 260
Eagan, MN 55121-2488

Phone

(651) 212-4920

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

No

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carnelia Mental Health LLC

  • Clinic/Center
  • Apple Valley, MN
  • NPI 1952182172

  MN

  Medicare reassignment NPD
• Wild Tree Psychotherapy, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1528451408
  NPD

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1801599212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CENTRAL PKWY STE 260",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212488",
            "telephone_number": "651-212-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CENTRAL PKWY STE 260",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212488",
            "telephone_number": "651-212-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENM",
        "first_name": "HEATHER",
        "middle_name": "AMY",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bloedel Pederson, P.T.
• Pediatric and Young Adult Medicine, PA
• Pediatric Phlebotomy Enhanced LLC
• Judy K Pedro-Lim, D.M.D., M.D.S.
• Lisa Diane Peirson, OTR/L
• People Incorporated
• Paige Peplinski
• Glenn A Perkins, DDS
• Lisa Perlock, LPCC
• Suzanne F Permuth

• Marriage & Family Therapist in Eagan, MN
• Providers in Eagan, 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 Feb 5, 2024; 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.

Verify at the official NPI Registry.