Individual provider Active NPI

Mary Thomson

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1891177994
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2681 Issued in MN
Practice address
8401 Wayzata Blvd
Golden Valley, MN 55426-1343
Phone
(763) 544-1006
Fax
(763) 544-1008
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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 2681 MN Primary

Addresses

Primary practice location

8401 Wayzata Blvd
Golden Valley, MN 55426-1343

Mailing address

8401 Wayzata Blvd
Golden Valley, MN 55426-1343

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
I20240621000250 MN Practitioner - Marriage and Family Therapist 3375086150 Reassigns benefits to 1 organization

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
Group practices
Hoy and Associates Inc.Group PAC ID 6608318498, 20 clinicians

Practice addresses (Care Compare)

8401 Wayzata Blvd
Suite 150
Golden Valley, MN 55426-1377
Phone (763) 544-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681MNMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoy & Associates Inc. CurrentSince May 2, 2024 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 150
Minneapolis, MN 55426
Phone (763) 544-1006

Organizations & group practices 1

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1891177994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343",
            "telephone_number": "763-544-1006",
            "fax_number": "763-544-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.