Active NPI
Elizabeth Klein, LMFT
- Marriage & Family Therapist
- Saint Paul, MN
National Provider Identifier
1922372069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3661
- Practice address
- 1599 Selby Ave Ste 105LL
Saint Paul, MN 55104 - Phone
- (612) 470-0991
- Fax
- (833) 391-3575
- NPI assigned
- Mar 7, 2012
- Last updated
- Jul 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4889 | WI | |
| Marriage & Family Therapist | 106H00000X | 1160 | WI | |
| Marriage & Family Therapist | 106H00000X | 3661 | MN | Primary |
Addresses
Primary practice location
1599 Selby Ave Ste 105LL
Saint Paul, MN 55104
Mailing address
1599 Selby Ave Ste 105LL
Saint Paul, MN 55104-6375
Phone (612) 470-0991
Other practice location 1
2550 N 67th St
Wauwatosa, WI 53213-1443
Phone (414) 339-5494
Other practice location 2
1599 Selby Ave Ste 105Ll
Saint Paul, MN 55104
Phone (612) 470-0991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4889 | WI | MD | Professional Counselor |
| 3661 | MN | MD | Marriage & Family Therapist |
| 1160 | WI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563580800000",
"number": "1922372069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 SELBY AVE STE 105LL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046375",
"telephone_number": "612-470-0991",
"fax_number": "833-391-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 SELBY AVE STE 105LL",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "612-470-0991",
"fax_number": "833-391-3575"
}
],
"practiceLocations": [
{
"address_1": "2550 N 67th St",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532131443",
"country_code": "US",
"telephone_number": "414-339-5494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1599 Selby Ave Ste 105Ll",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "55104",
"country_code": "US",
"telephone_number": "612-470-0991",
"fax_number": "833-391-3575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEIN",
"first_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-07",
"last_updated": "2019-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4889",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "1160",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.