Carrie Klemz Wolfson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1473 Issued in MN

Practice address

1601 Highway 13 E
Ste 209
Burnsville, MN 55337-6865

Phone

(612) 382-8651

NPI assigned

Oct 24, 2010

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Foundations Family Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
  • NPI 1568733061

  Marriage & Family Therapist

  Medicare reassignment NPD Authorized official
• Boost Learning Enrichment Programs, Inc.

  • Marriage & Family Therapist
  • Burnsville, MN
  • NPI 1316251234
  NPD (past) Authorized official
• Family Steps, LLC

  dba Family Steps Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
  • NPI 1609121318
  NPD (past) Authorized official

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287878400000",
    "number": "1811297906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "STE 209",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "612-382-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 13 E",
            "address_2": "STE 209",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376865",
            "telephone_number": "612-382-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "CARRIE",
        "middle_name": "KLEMZ",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mae Wise, MS/CCC-SLP
• Blayre Madison Wisneski
• Elizabeth Alice Witchger, PAC
• Jon K. Wogensen, MD
• Barbara N Wolfe, LMFT
• Rachel Lorraine Womack, MD
• Ninette Wong, D.P.T.
• Emily Wood
• Justin Garrett Wood
• Woodhill Homecare Services

• Marriage & Family Therapist in Burnsville, MN
• Providers in Burnsville, 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 Oct 24, 2010; 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.