Individual provider Active NPI

Fiona McGovern

  • Marriage & Family Therapist
  • St Louis Park, MN
National Provider Identifier
1942884150
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2932
Phone
(612) 787-2832
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 Primary

Addresses

Primary practice location

5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2932

Mailing address

5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2932
Phone (612) 787-2832

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
I20250128003762 MN Practitioner - Marriage and Family Therapist 2961931407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relationship Therapy Center PCGroup PAC ID 7810429222, 5 clinicians

Practice addresses (Care Compare)

5407 Excelsior Blvd
Suite B
St Louis Park, MN 55416-2932
Phone (612) 787-2832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4683MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship Therapy Center PC Marriage & Family Therapist CurrentSince Nov 29, 2024 Accepting new patients

Locations

5407 Excelsior Blvd
Ste B
St Louis Park, MN 55416
Phone (612) 283-9221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1942884150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD STE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "612-787-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD STE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "612-787-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "FIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.