Active NPI
Gerard Lawrence Lafave, MA, LMFT
- Marriage & Family Therapist
- Hinckley, MN
National Provider Identifier
1891081246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12345
- Practice address
- 58826 Otter Dr
Hinckley, MN 55037-5355 - Phone
- (612) 240-7647
- Fax
- (320) 384-6799
- NPI assigned
- Jun 23, 2011
- Last updated
- Jun 23, 2011
- 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 | 12345 | MN | Primary |
Addresses
Primary practice location
58826 Otter Dr
Hinckley, MN 55037-5355
Mailing address
58826 Otter Dr
Hinckley, MN 55037-5355
Phone (612) 240-7647
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12345 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1891081246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58826 OTTER DR",
"city": "HINCKLEY",
"state": "MN",
"postal_code": "550375355",
"telephone_number": "612-240-7647",
"fax_number": "320-384-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58826 OTTER DR",
"city": "HINCKLEY",
"state": "MN",
"postal_code": "550375355",
"telephone_number": "612-240-7647",
"fax_number": "320-384-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFAVE",
"first_name": "GERARD",
"middle_name": "LAWRENCE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "12345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinckley, MN
- Hinckley Drug LLC
- Adam Michael Holder, D.D.S.
- Jodel Hunt, IHP
- Independent School District 2165
- Kyle Hams D.C. P.a. (Hinckley Chiropractic)
- Kari Loew, PT
- Taylor Rae Mielke, RDH, MDT
- Dominic Luke Milano, DDS
- Mille Lacs Band of Ojibwe Indians (Hinckley DIII Alcohol & Drug Program)
- Modern Dental Professionals MN PC (Midwest Dental - Hinckley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.