Individual provider Active NPI

Therese Rose Meyer, LMFT

  • Marriage & Family Therapist
  • Little Falls, MN
National Provider Identifier
1932493384
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2078 Issued in MN
Practice address
1906 5TH Ave SE
Little Falls, MN 56345-3317
Phone
(320) 632-6647
Fax
(320) 632-9525
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 2078 MN Primary

Addresses

Primary practice location

1906 5TH Ave SE
Little Falls, MN 56345-3317

Mailing address

PO Box 367
Little Falls, MN 56345-0367
Phone (320) 632-6647

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
I20240416003775 MN Practitioner - Marriage and Family Therapist 5496158230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

807 6TH St NE
Little Falls, MN 56345-2316
Phone (320) 360-0940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2078MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regroup Counseling and Consulting PSC Marriage & Family Therapist CurrentSince Mar 3, 2024 Accepting new patients
Meyer Counseling and Consulting P.L.L.C. CurrentSince May 12, 2024 Accepting new patients

Locations

586 Dodge Ave NW
Ste B
Elk River, MN 55330
Phone (763) 350-9687

18336 Joplin St NW
Elk River, MN 55330
Phone (763) 350-9687

15088 22nd Ave NE
Little Falls, MN 56345
Phone (320) 360-6898

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1932493384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563450367",
            "telephone_number": "320-632-6647",
            "fax_number": "320-632-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 5TH AVE SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453317",
            "telephone_number": "320-632-6647",
            "fax_number": "320-632-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "THERESE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.