Active NPI
Michael Zetune Dorfman, LMFT
- Marriage & Family Therapist
- Plymouth, MN
National Provider Identifier
1902506140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6527 - Phone
- (763) 200-8900
- NPI assigned
- Mar 7, 2023
- 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 | Primary |
Addresses
Primary practice location
9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6527
Mailing address
5006 N Winchester Ave Apt 1E
Chicago, IL 60640-2681
Phone (952) 212-4285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 4, 2025 through Nov 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reweave Therapy PLLC | Marriage & Family Therapist | Current | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Chicago, IL
- NPI 1114881786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1902506140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 N WINCHESTER AVE APT 1E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402681",
"telephone_number": "952-212-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SHELARD PKWY STE 115",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554416527",
"telephone_number": "763-200-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "MICHAEL",
"middle_name": "ZETUNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-07",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.