Active NPI
Michelle Libi, M.A., LMFT
- Marriage & Family Therapist
- St Louis Park, MN
National Provider Identifier
1942412366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1034
- Practice address
- 5009 Excelsior Blvd
Suite 102
St Louis Park, MN 55416-3041 - Phone
- (952) 848-0773
- NPI assigned
- May 6, 2007
- 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 | 1034 | MN | Primary |
Addresses
Primary practice location
5009 Excelsior Blvd
Suite 102
St Louis Park, MN 55416-3041
Mailing address
5009 Excelsior Blvd
Suite 102
St Louis Park, MN 55416-3041
Phone (952) 848-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038R9LI | Other | MN | BCBS PROVIDER NUMBER |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942412366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 EXCELSIOR BLVD",
"address_2": "SUITE 102",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163041",
"telephone_number": "952-848-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 EXCELSIOR BLVD",
"address_2": "SUITE 102",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554163041",
"telephone_number": "952-848-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBI",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "038R9LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.