Active NPI
Deborah E Vogt, LMFT
- Marriage & Family Therapist
- Waite Park, MN
National Provider Identifier
1811050347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1405
- Practice address
- 110 2ND St S
Suite 301
Waite Park, MN 56387-1314 - Phone
- (320) 252-2976
- Fax
- (320) 656-1570
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1405 | MN | Primary |
Addresses
Primary practice location
110 2ND St S
Suite 301
Waite Park, MN 56387-1314
Mailing address
110 2ND Street
Suite 301
Waite Park, MN 56387-1314
Phone (320) 252-2976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093408900 | Medicaid | MN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1811050347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 2ND STREET",
"address_2": "SUITE 301",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871314",
"telephone_number": "320-252-2976",
"fax_number": "320-656-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "SUITE 301",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871314",
"telephone_number": "320-252-2976",
"fax_number": "320-656-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "DEBORAH",
"middle_name": "E",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093408900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.