Katherine J Eder

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

822 S 3Rd St Ste 100
Minneapolis, MN 55415-1200

Phone

(612) 568-2530

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Minnesota Trauma Recovery Institute

  • Counselor
  • Minneapolis, MN
  • NPI 1598303794
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1942805247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GRAND ST NE APT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131049",
            "telephone_number": "651-413-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 3RD ST STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151200",
            "telephone_number": "612-568-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@mntri.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Minnesota Trauma Recovery Institute",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "822 S 3rd St Ste 100",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554151200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Edelman, MS, RD, LD
• Eden Homes, Inc.
• Faith Farhan Eden
• Kimberley Marie Edens, LADC
• Lucy Edens, DPT
• Meron A Edessa
• Mulu Edessa
• Connie Lynn Edgar, LICSW
• Liam Jacob Edgar, MD
• Mary E. Edgar, CRNA

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.