MS. JOANNA MARIE DIEM LMFT
NPI 1538812839
Marriage & Family Therapist in St Louis Park, MN

Active since January 27, 2022Opted out of Medicare · through Sep 10, 2026
4500 PARK GLEN RD STE 155, ST LOUIS PARK, MN 55416(612) 405-4057 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Joanna Marie Diem Lmft NPPES

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

MS. JOANNA MARIE DIEM LMFT (NPI 1538812839) is an individual marriage & family therapist in St Louis Park, Minnesota, licensed in Minnesota (3846) and active in the NPI registry since January 2022. She has opted out of Medicare through September 10, 2026.

NPPES Registry Identity

NPI1538812839
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JOANNA MARIE DIEMCredential: LMFT
Location Address4500 PARK GLEN RD STE 155St Louis Park, MN 55416-4888
Mailing Address4247 Xenia Ave NCrystal, MN 55422-1644 · (763) 213-5752
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1538812839 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 · 3846
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.
4500 PARK GLEN RD STE 155, St Louis Park, MN 55416

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Joanna Marie Diem 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 September 10, 2024 through September 10, 2026.

Opt-Out Effective DateSeptember 10, 2024
Opt-Out In Effect ThroughSeptember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416
Counselor (Professional)
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416
Social Worker (Clinical)
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416
Psychologist
4500 PARK GLEN RD STE 155
ST LOUIS PARK, MN 55416
Counselor (Professional)
4500 PARK GLEN RD STE 155
ST LOUIS PARK, MN 55416
Dietitian, Registered
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416
Social Worker (Clinical)
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416
Counselor (Mental Health)
4500 PARK GLEN RD STE 155
SAINT LOUIS PARK, MN 55416

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 Joanna Diem's NPI number?

The NPI number for Joanna Diem is 1538812839. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Joanna Diem located?

Joanna Diem practices at 4500 Park Glen Rd Ste 155, St Louis Park, MN 55416. The listed phone number is (612) 405-4057.

What is Joanna Diem's specialty?

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

Is Joanna Diem enrolled in Medicare?

No. Joanna Diem has opted out of Medicare through September 10, 2026. 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 Joanna Diem was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.