Active NPI
Thomas A Peichel, MA LICSW
- Marriage & Family Therapist
- Cottage Grove, MN
National Provider Identifier
1811009574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT0189
- Practice address
- 7064 W PT Douglas Rd
Ste #201
Cottage Grove, MN 55016 - Phone
- (651) 458-5224
- Fax
- (651) 458-5310
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW07209 | MN | |
| Marriage & Family Therapist | 106H00000X | LMFT0189 | MN | Primary |
Addresses
Primary practice location
7064 W PT Douglas Rd
Ste #201
Cottage Grove, MN 55016
Mailing address
101 W Pine St
Stillwater, MN 55082
Phone (651) 439-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP38609 | Other | MN | HEALTH PARTNERS |
| 130P35PE | Other | MN | BCBS |
| A8655040 | Other | MN | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW07209 | MN | MD | Clinical Social Worker |
| LMFT0189 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Service Bureau Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Stillwater, MN
- NPI 1528164852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811009574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W PINE ST",
"city": "STILLWATER",
"state": "MN",
"postal_code": "55082",
"telephone_number": "651-439-8800",
"fax_number": "651-439-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7064 W PT DOUGLAS RD",
"address_2": "STE #201",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "55016",
"telephone_number": "651-458-5224",
"fax_number": "651-458-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEICHEL",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "MA LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "LCSW07209",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "LMFT0189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP38609",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130P35PE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "A8655040",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.