Organization Active NPI

Enliven Psychotherapy

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1831550672
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ENLIVEN PSYCHOTHERAPY
Practice address
533 Dale St N
Saint Paul, MN 55103-1916
Phone
(612) 481-2234
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Adam Arnold, LMFT, LADC
Title
Psychotherapist, Owner
Phone
(612) 481-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

533 Dale St N
Saint Paul, MN 55103-1916

Mailing address

533 Dale St N
Saint Paul, MN 55103-1916
Phone (612) 481-2234

National Provider Directory

National Provider Directory

Locations

533 Dale St N
Saint Paul, MN 55103
Phone (612) 481-2234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1831550672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031916",
            "telephone_number": "612-481-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031916",
            "telephone_number": "612-481-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, OWNER",
        "authorized_official_telephone_number": "612-481-2234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.