Active NPI
Teresa Kleinschmidt, M.S., L.M.F.T.
- Marriage & Family Therapist
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1144
- Practice address
- 1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476 - Phone
- (952) 541-2500
- NPI assigned
- Dec 20, 2005
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1144 | MN | Primary |
Addresses
Primary practice location
1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476
Mailing address
314 Clifton Ave
Suite 305
Minneapolis, MN 55403-3235
Phone (612) 702-1238
Other practice location 1
314 Clifton Ave
Suite 305
Minneapolis, MN 55403-3235
Phone (612) 702-1238
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507T3KL | Other | MN | BCBS INDIVIDAUL # |
| 167719500 | Medicaid | MN | |
| 508T2TE | Other | MN | BCBS GROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
1665 Utica Ave S
Ste 100
St Louis Park, MN 55416
Phone (952) 541-2500
Organizations & group practices 3
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Well@Work St. Cloud
- Health Service Clinic/Center
- Waite Park, MN
- NPI 1457836454
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1821074998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CLIFTON AVE",
"address_2": "SUITE 305",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033235",
"telephone_number": "612-702-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 UTICA AVE S STE 100",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163476",
"telephone_number": "952-541-2500"
}
],
"practiceLocations": [
{
"address_1": "314 Clifton Ave",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033235",
"country_code": "US",
"telephone_number": "612-702-1238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINSCHMIDT",
"first_name": "TERESA",
"credential": "M.S., L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDAUL #",
"identifier": "507T3KL",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167719500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "508T2TE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.