MARK TERESA
NPI 1134556921
Marriage & Family Therapist in Minneapolis, MN

Q: What is Mark Teresa's NPI number?

The NPI number for Mark Teresa is 1134556921. It was assigned to this individual provider in the NPPES registry on October 11, 2013.

Q: What is Mark Teresa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Teresa was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 11, 2013

681 17TH AVE NE, SUITE 312, MINNEAPOLIS, MN 55413(612) 876-5917 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Teresa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK TERESA (NPI 1134556921) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (2584) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1134556921

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMARK TERESA

Location Address681 17TH AVE NE, SUITE 312Minneapolis, MN 55413-4590

Mailing Address681 17th Ave Ne, Suite 312Minneapolis, MN 55413-4590 · (612) 876-5917

Phone(612) 876-5917

Sole ProprietorYes

Enumeration DateOctober 11, 2013

✔ NPI 1134556921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 2584

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

681 17TH AVE NE, Minneapolis, MN 55413

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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 Mark Teresa's NPI number?

The NPI number for Mark Teresa is 1134556921. It was assigned to this individual provider in the NPPES registry on October 11, 2013.

Where is Mark Teresa located?

Mark Teresa practices at 681 17th Ave NE Suite 312, Minneapolis, MN 55413. The listed phone number is (612) 876-5917.

What is Mark Teresa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Mark Teresa was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.