Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHILLIP BUGANSKI LAT, OTC
NPI 1174110043
Marriage & Family Therapist in Vadnais Heights, MN

Q: What is Phillip Buganski's NPI number?

The NPI number for Phillip Buganski is 1174110043. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Q: What is Phillip Buganski'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 Phillip Buganski was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 December 28, 2020

3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127(651) 968-5200(651) 730-3750 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Phillip Buganski Lat, Otc NPPES

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

PHILLIP BUGANSKI LAT, OTC (NPI 1174110043) is an individual marriage & family therapist in Vadnais Heights, Minnesota, licensed in Minnesota (4934) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1174110043

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NamePHILLIP BUGANSKICredential: LAT, OTC

Location Address3580 ARCADE STVadnais Heights, MN 55127-7135

Mailing Address4952 Emmit Dr N Unit 2Hugo, MN 55038-8505 · (763) 355-2874

Phone(651) 968-5200

Fax(651) 730-3750

Sole ProprietorYes

Enumeration DateDecember 28, 2020

Last NPPES UpdateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1174110043 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 · 4934

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.

3580 ARCADE ST, Vadnais Heights, MN 55127

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Other Identifiers 1

Other2389MN · License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAWNEY R MAUL CNP

Nurse Practitioner (Family)