Active NPI
Charles Puttonen, LMFT
- Marriage & Family Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3193
- Practice address
- 280 Smith Ave N Ste 450
Saint Paul, MN 55102-2481 - Phone
- (651) 241-5959
- NPI assigned
- Mar 9, 2017
- Sex
- Male
- 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 | 3193 | MN | Primary |
Addresses
Primary practice location
280 Smith Ave N Ste 450
Saint Paul, MN 55102-2481
Mailing address
PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other practice location 1
7066 Stillwater Blvd N
Oakdale, MN 55128-3937
Phone (651) 251-5097
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cputtonen652828@excellian.direct.allina.com | Direct |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
303 E Nicollet Blvd
Suite 160
Burnsville, MN 55337-4588
Phone (952) 460-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
280 Smith Ave N
Ste 450
Saint Paul, MN 55102
Phone (651) 241-5959
3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860
Interoperability endpoints
- cputtonen652828@excellian.direct.allina.com
Organizations & group practices 6
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.
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- NPI 1952146516
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- Pain Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1861933947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043",
"telephone_number": "612-262-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SMITH AVE N STE 450",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022481",
"telephone_number": "651-241-5959"
}
],
"practiceLocations": [
{
"address_1": "7066 Stillwater Blvd N",
"address_purpose": "LOCATION",
"city": "Oakdale",
"state": "MN",
"postal_code": "551283937",
"country_code": "US",
"telephone_number": "651-251-5097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUTTONEN",
"first_name": "CHARLES",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-09",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3193",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cputtonen652828@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "280 Smith Ave N Ste 450",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551022481",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 21, 2024; 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.