Individual provider Active NPI

Michelle Ann Fouquette, MA, LMFT

  • Marriage & Family Therapist
  • Albertville, MN
National Provider Identifier
1972813517
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2110 Issued in MN
Practice address
10904 57TH St NE Ste 105
Albertville, MN 55301-4654
Phone
(763) 497-0733
Fax
(763) 497-0728
NPI assigned
Oct 18, 2010
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 2110 MN Primary

Addresses

Primary practice location

10904 57TH St NE Ste 105
Albertville, MN 55301-4654

Mailing address

10904 57TH St NE Ste 105
Albertville, MN 55301-4654
Phone (763) 497-0733

Other identifiers 1

IdentifierTypeStateIssuer
1972813517MedicaidMN

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Optimistic Living Counseling, LLC Marriage & Family Therapist Current Accepting new patients

Locations

10904 57th St NE
Ste 105
Albertville, MN 55301
Phone (763) 497-0733

10904 57th St NE
Ste 106
Albertville, MN 55301
Phone (959) 999-0333

5279 Kyler Ave NE
Ste 110
Albertville, MN 55301
Phone (763) 497-0733

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1972813517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 57TH ST NE STE 105",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014654",
            "telephone_number": "763-497-0733",
            "fax_number": "763-497-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 57TH ST NE STE 105",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014654",
            "telephone_number": "763-497-0733",
            "fax_number": "763-497-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUQUETTE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972813517",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.