Active NPI
Michelle Schubert Hunt-Graham, L.A.M.F.T.
- Marriage & Family Therapist
- Eden Prairie, MN
National Provider Identifier
1942375464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1614
- Practice address
- 7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959 - Phone
- (952) 224-2282
- Fax
- (952) 224-2284
- NPI assigned
- Nov 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1614 | MN | Primary |
Addresses
Primary practice location
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Mailing address
2115 County Road D E
Suite B
Maplewood, MN 55109-5353
Phone (651) 748-5019
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0T636BE | Other | MN | BLUECROSS BLUE SHIELD |
| HP85042 | Other | MN | HEALTH PARTNERS |
| 862628000 | Medicaid | MN | |
| 153059 | Other | MN | BEHAVIORAL HEALTHCARE PROVIDERS (UCARE, PREFERRED ONE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | MN | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Marriage & Family Therapist | Past | 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.
-
- Counseling Psychologist
- Anoka, MN
- NPI 1992862783
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1942375464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 COUNTY ROAD D E",
"address_2": "SUITE B",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095353",
"telephone_number": "651-748-5019",
"fax_number": "651-773-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 MITCHELL RD",
"address_2": "SUITE 100",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553441959",
"telephone_number": "952-224-2282",
"fax_number": "952-224-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT-GRAHAM",
"first_name": "MICHELLE",
"middle_name": "SCHUBERT",
"credential": "L.A.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "0T636BE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP85042",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "862628000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTHCARE PROVIDERS (UCARE, PREFERRED ONE)",
"identifier": "153059",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.