Individual provider Active NPI

Juli Diane Teien, LMFT

  • Marriage & Family Therapist
  • Greenfield, MN
National Provider Identifier
1972688448
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1283 Issued in MN
Practice address
5960 Town Hall Drive
Greenfield, MN 55357
Phone
(952) 210-7645
NPI assigned
Oct 25, 2006
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 1283 MN Primary

Addresses

Primary practice location

5960 Town Hall Drive
Greenfield, MN 55357

Mailing address

5960 Town Hall Drive
Greenfield, MN 55357
Phone (952) 210-7645

Other identifiers 2

IdentifierTypeStateIssuer
872983200OtherMNMHCP
191P4MOOtherMNBC/BS MN

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
I20240325000764 MN Practitioner - Marriage and Family Therapist 4880031012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
On Track Equine Assisted Psychotherapy- Eap Marriage & Family Therapist CurrentSince Sep 5, 2021 Accepting new patients
Vanda Counseling and Psychological Services CurrentSince Feb 11, 2024 Accepting new patients
Juli Teien LMFT Marriage & Family Therapist CurrentSince Sep 5, 2021 Accepting new patients

Locations

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1972688448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 TOWN HALL DRIVE",
            "city": "GREENFIELD",
            "state": "MN",
            "postal_code": "55357",
            "telephone_number": "952-210-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 TOWN HALL DRIVE",
            "city": "GREENFIELD",
            "state": "MN",
            "postal_code": "55357",
            "telephone_number": "952-210-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIEN",
        "first_name": "JULI",
        "middle_name": "DIANE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP",
            "identifier": "872983200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MN",
            "identifier": "191P4MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MN

Sources for this page

Verify at the official NPI Registry.