Individual provider Active NPI

Theresa J Crawford, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1891134524
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2152 Issued in MN
Practice address
1915 Lyndale Ave S
Minneapolis, MN 55403-3380
Phone
(800) 336-5973
Fax
(612) 234-4689
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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 2152 MN Primary

Addresses

Primary practice location

1915 Lyndale Ave S
Minneapolis, MN 55403-3380

Mailing address

5407 Excelsior Blvd
Suite B
St Louis Park, MN 55416-2929

Other practice location 1

5407 Excelsior Blvd
Suite B
St Louis Park, MN 55416-2929
Phone (612) 298-1835

Other practice location 2

2221 Ford Pkwy Ste 350
Saint Paul, MN 55116-3837
Phone (800) 336-5973 ext. 4

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109003145 MN Practitioner - Marriage and Family Therapist 7810348307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Mental Health, GBCGroup PAC ID 1355500752, 29 clinicians

Practice addresses (Care Compare)

1915 Lyndale Ave S
Minneapolis, MN 55403-3104
Phone (800) 336-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2152MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Mental Health, GBC CurrentSince Jan 1, 2024 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973

2221 Ford Pkwy
Ste 350
Saint Paul, MN 55116
Phone (651) 698-8879

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1891134524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD",
            "address_2": "SUITE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033380",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 Excelsior Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162929",
            "country_code": "US",
            "telephone_number": "612-298-1835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Ford Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551163837",
            "country_code": "US",
            "telephone_number": "800-336-5973 x4",
            "fax_number": "612-234-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "THERESA",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.