Active NPI
Sara Jean Bidler, LMFT
- Marriage & Family Therapist
- Plymouth, MN
National Provider Identifier
1972738276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1714
- Practice address
- 6065 Kirkwood LN N
Plymouth, MN 55442-1223 - Phone
- (763) 458-2654
- NPI assigned
- May 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 1714 | MN | Primary |
Addresses
Primary practice location
6065 Kirkwood LN N
Plymouth, MN 55442-1223
Mailing address
6065 Kirkwood LN N
Plymouth, MN 55442-1223
Phone (763) 458-2654
Other practice location 1
1201 89th Ave NE
Suite 380
Blaine, MN 55434-3370
Phone (763) 783-4944
Other practice location 2
1201 89th Ave NE
Suite 380
Blaine, MN 55434-3370
Phone (763) 783-4944
Other practice location 3
7026 E Fish Lake Rd
Maple Grove, MN 55311
Phone (763) 458-2654
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1972738276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 KIRKWOOD LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554421223",
"telephone_number": "763-458-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 KIRKWOOD LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554421223",
"telephone_number": "763-458-2654"
}
],
"practiceLocations": [
{
"address_1": "1201 89th Ave NE",
"address_2": "Suite 380",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554343370",
"country_code": "US",
"telephone_number": "763-783-4944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 89th Ave NE",
"address_2": "Suite 380",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554343370",
"country_code": "US",
"telephone_number": "763-783-4944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7026 E Fish Lake Rd",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "55311",
"country_code": "US",
"telephone_number": "763-458-2654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIDLER",
"first_name": "SARA",
"middle_name": "JEAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-16",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.