Organization Active NPI

Bond Psychotherapy, LLC

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1881412096
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BOND PSYCHOTHERAPY, LLC
Practice address
1678 Selby Ave
Saint Paul, MN 55104-6149
Phone
(612) 440-9455
NPI assigned
Sep 27, 2024
Last updated
Jan 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Simon Everest, LMFTNPI 1770328973
Title
Owner/Psychotherapist
Phone
(612) 440-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1678 Selby Ave
Saint Paul, MN 55104-6149

Mailing address

1678 Selby Ave
Saint Paul, MN 55104-6149
Phone (124) 409-4556

Other practice location 1

1032 Grand Ave Ste 100
Saint Paul, MN 55105-3064
Phone (612) 440-9455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1881412096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046149",
            "telephone_number": "124-409-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046149",
            "telephone_number": "612-440-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 Grand Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053064",
            "country_code": "US",
            "telephone_number": "612-440-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "EVEREST",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-440-9455",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_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 Jan 18, 2025; 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.