Individual provider Active NPI

Angie Jean Monson, M.S. LMFT

  • Marriage & Family Therapist
  • Nisswa, MN
National Provider Identifier
1952840019
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3131 Issued in MN
Practice address
25282 Hazelwood Dr
Nisswa, MN 56468-2797
Phone
(218) 961-4673
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 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 3131 MN Primary

Addresses

Primary practice location

25282 Hazelwood Dr
Nisswa, MN 56468-2797

Mailing address

11943 Pepperidge Rd
Brainerd, MN 56401-5818
Phone (218) 251-5060

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
I20240415001921 MN Practitioner - Marriage and Family Therapist 2961841689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25282 Hazelwood Dr
Nisswa, MN 56468-2797
Phone (218) 251-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
3131MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Angie Monson Therapy Services, LLC Marriage & Family Therapist CurrentSince Jan 28, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1952840019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 PEPPERIDGE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015818",
            "telephone_number": "218-251-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25282 HAZELWOOD DR",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682797",
            "telephone_number": "218-961-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "ANGIE",
        "middle_name": "JEAN",
        "credential": "M.S.  LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

Verify at the official NPI Registry.