MARY ANN HAVSTAD M.A. LICSW
NPI 1568530954
Counselor - Mental Health in Bloomington, MN

Q: What is Mary Havstad's NPI number?

The NPI number for Mary Havstad is 1568530954. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Mary Havstad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Havstad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 01, 2006

9001 E BLGTN FRWY, SUITE 140, BLOOMINGTON, MN 55420(612) 518-5105(952) 881-3588 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mary Ann Havstad M.a. Licsw NPPES

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

MARY ANN HAVSTAD M.A. LICSW (NPI 1568530954) is an individual mental health provider in Bloomington, Minnesota, licensed in Minnesota (8300) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1568530954

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY ANN HAVSTADCredential: M.A. LICSW

Location Address9001 E BLGTN FRWY, SUITE 140Bloomington, MN 55420

Mailing Address3703 Towndale DrBloomington, MN 55431-1047 · (612) 518-5105 · Fax (952) 881-3588

Phone(612) 518-5105

Fax(952) 881-3588

Sole ProprietorYes

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568530954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 8300

9001 E BLGTN FRWY, Bloomington, MN 55420

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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 Mary Havstad's NPI number?

The NPI number for Mary Havstad is 1568530954. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Mary Havstad located?

Mary Havstad practices at 9001 E Blgtn Frwy Suite 140, Bloomington, MN 55420. The listed phone number is (612) 518-5105.

What is Mary Havstad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Havstad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.