Organization Active NPI

Treestone Therapy PLLC

  • Marriage & Family Therapist
  • St Louis Park, MN
National Provider Identifier
1851761993
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2305 Issued in MN
Legal business name
TREESTONE THERAPY PLLC
Practice address
4601 Excelsior Blvd
Suite 411
St Louis Park, MN 55416-4960
Phone
(612) 568-8390
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Tamar Melmed Marmor, MPS, LMFT
Title
Marriage and Family Therapist
Phone
(612) 568-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2305 MN Primary

Addresses

Primary practice location

4601 Excelsior Blvd
Suite 411
St Louis Park, MN 55416-4960

Mailing address

4601 Excelsior Blvd
Suite 411
St Louis Park, MN 55416-4960
Phone (612) 568-8390

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1851761993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD",
            "address_2": "SUITE 411",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164960",
            "telephone_number": "612-568-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD",
            "address_2": "SUITE 411",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164960",
            "telephone_number": "612-568-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREESTONE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MARMOR",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_middle_name": "MELMED",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "612-568-8390",
        "authorized_official_credential": "MPS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2015; 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.