MARY ELIZABETH DEVORAK LMFT
NPI 1124408307
Marriage & Family Therapist in Minneapolis, MN
About Mary Elizabeth Devorak Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELIZABETH DEVORAK LMFT (NPI 1124408307) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (2883) and active in the NPI registry since June 2015. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mary Elizabeth Devorak Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55413
MINNEAPOLIS, MN 55413
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Devorak's NPI number?
The NPI number for Mary Devorak is 1124408307. It was assigned to this individual provider in the NPPES registry on June 3, 2015. The provider is also known as Mary Elizabeth Thoreson Lmft.
Where is Mary Devorak located?
Mary Devorak practices at 726 2nd St NE, Minneapolis, MN 55413. The listed phone number is (612) 465-0105.
What is Mary Devorak's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mary Devorak enrolled in Medicare?
No. Mary Devorak has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mary Devorak was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Elizabeth Devorak, LMFT · NPI 1124408307
Marriage & Family Therapist provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1124408307 (Entity type: Individual)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 2883 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 726 2ND ST NE, Minneapolis, MN 55413-1662
- **Phone:** (612) 465-0105
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1124408307) · Data from the CMS NPPES public registry.