Individual provider Active NPI

Heather Trettel, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1902227580
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2441 Issued in MN
Practice address
3015 3Rd St N
Saint Cloud, MN 56303-4117
Phone
(320) 293-4945
Fax
(320) 529-4320
NPI assigned
Dec 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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 2441 MN Primary

Addresses

Primary practice location

3015 3Rd St N
Saint Cloud, MN 56303-4117

Mailing address

PO Box 2390
Saint Cloud, MN 56302-2390
Phone (320) 293-4945

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
I20240422000495 MN Practitioner - Marriage and Family Therapist 3971942178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tending Relationships, LLC Marriage & Family Therapist CurrentSince Jun 27, 2024 Accepting new patients
Ellison Center Marriage & Family Therapist CurrentSince Mar 6, 2024 Accepting new patients

Locations

600 25th Ave S
Ste 102
Saint Cloud, MN 56301
Phone (320) 310-6365

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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1902227580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2390",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563022390",
            "telephone_number": "320-293-4945",
            "fax_number": "320-529-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 3RD ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034117",
            "telephone_number": "320-293-4945",
            "fax_number": "320-529-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETTEL",
        "first_name": "HEATHER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.