Individual provider Active NPI

Michele Kay Butler-Fluth, MS, LMFT

  • Marriage & Family Therapist
  • Willmar, MN
National Provider Identifier
1841401262
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1177 Issued in MN
Practice address
2120 60TH Ave NE
Willmar, MN 56201-9140
Phone
(320) 905-2632
Fax
(320) 235-8059
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1177 MN Primary

Addresses

Primary practice location

2120 60TH Ave NE
Willmar, MN 56201-9140

Mailing address

1040 73Rd Ave NW
Willmar, MN 56201-8718
Phone (320) 905-2632

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 Science

State licenses

LicenseStateTypeSpecialty
1177MNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1841401262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 73RD AVE NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562018718",
            "telephone_number": "320-905-2632",
            "fax_number": "320-235-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 60TH AVE NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562019140",
            "telephone_number": "320-905-2632",
            "fax_number": "320-235-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER-FLUTH",
        "first_name": "MICHELE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.