CONNIE MARIE BACKSTROM LMFT
NPI 1548094147
Marriage & Family Therapist in Lakeville, MN

Q: What is Connie Backstrom's NPI number?

The NPI number for Connie Backstrom is 1548094147. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Connie Backstrom'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 Connie Backstrom was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 27, 2024PECOS EnrolledAccepts Medicare Assignment

7580 160TH ST W, LAKEVILLE, MN 55044(952) 898-1133(952) 435-6797 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Connie Marie Backstrom Lmft NPPES

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

CONNIE MARIE BACKSTROM LMFT (NPI 1548094147) is an individual marriage & family therapist in Lakeville, Minnesota, licensed in Minnesota (4383) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548094147

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCONNIE MARIE BACKSTROMCredential: LMFT

Location Address7580 160TH ST WLakeville, MN 55044-8348

Mailing Address8060 250th St EHampton, MN 55031-9634 · (612) 251-2518

Phone(952) 898-1133

Fax(952) 435-6797

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1548094147 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 · 4383

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.

7580 160TH ST W, Lakeville, MN 55044

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connie Marie Backstrom Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385184514

PECOS Enrollment IDI20240913002034

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LINDA M TUNELL MA

Psychologist