Individual provider Active NPI

Carmen Sue Graumann, LMFT

  • Marriage & Family Therapist
  • Fergus Falls, MN
National Provider Identifier
1902012644
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1312 Issued in MN
Practice address
1231 N Concord St
Fergus Falls, MN 56537-1546
Phone
(218) 739-2391
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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 1312 MN Primary

Addresses

Primary practice location

1231 N Concord St
Fergus Falls, MN 56537-1546

Mailing address

1231 N Concord St
Fergus Falls, MN 56537-1546
Phone (218) 739-2391

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

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1902012644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N CONCORD ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371546",
            "telephone_number": "218-739-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N CONCORD ST",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371546",
            "telephone_number": "218-739-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUMANN",
        "first_name": "CARMEN",
        "middle_name": "SUE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.