Individual provider Active NPI

Gilonda Williams-Butler, LMFT

  • Marriage & Family Therapist
  • Minnetonka, MN
National Provider Identifier
1972878106
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2470 Issued in MN
Practice address
3538 Rainbow Dr
Minnetonka, MN 55345-1033
Phone
(214) 402-3500
NPI assigned
Mar 21, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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 2470 MN Primary

Addresses

Primary practice location

3538 Rainbow Dr
Minnetonka, MN 55345-1033

Mailing address

6233 Addington CT
Eden Prairie, MN 55346-2261
Phone (214) 402-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240201003702 IA Practitioner - Marriage and Family Therapist 5092168302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1972878106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 ADDINGTON CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462261",
            "telephone_number": "214-402-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 RAINBOW DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451033",
            "telephone_number": "214-402-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BUTLER",
        "first_name": "GILONDA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.