The Couples Therapy Clinic, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2688 Issued in MN

Legal business name

THE COUPLES THERAPY CLINIC, LLC

Practice address

1025 Portland Ave
Room 301
Minneapolis, MN 55404-1449

Phone

(612) 355-0122

NPI assigned

Jan 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Zrenchik, MS, MA, ACS, LMFT

Title

Member

Phone

(612) 355-0122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1972993939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E HENNEPIN AVE",
            "address_2": "105",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132277",
            "telephone_number": "503-706-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PORTLAND AVE",
            "address_2": "ROOM 301",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041449",
            "telephone_number": "612-355-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUPLES THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "ZRENCHIK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "612-355-0122",
        "authorized_official_credential": "MS, MA, ACS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Aliveness Project, Inc.
• The Ballyba Clinic
• The Bridge for Youth
• The Children's Heart Clinic
• The Childrens Heart Clinic P,a
• The Developmental Therapy Center, LLC
• The Ereku Family Counseling Center (Ereku Counseling)
• The Ereku Family Counseling Center
• The Eye Doctors Office, PA (Art of Optiks)
• The Family Partnership

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.