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JON BUTALA LMFT
NPI 1568872216
Marriage & Family Therapist in Apple Valley, MN

Active since May 04, 2014PECOS EnrolledAccepts Medicare Assignment
4300 W 147TH ST., SUITE 204, APPLE VALLEY, MN 55124(952) 997-3020(952) 997-3026 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon Butala Lmft NPPES

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

JON BUTALA LMFT (NPI 1568872216) is an individual marriage & family therapist in Apple Valley, Minnesota, licensed in Minnesota (2361) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1568872216
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJON BUTALACredential: LMFT
Location Address4300 W 147TH ST., SUITE 204Apple Valley, MN 55124
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 379-1718 · Fax (651) 379-1738
Phone(952) 997-3020
Fax(952) 997-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 4, 2014
Last NPPES UpdateJuly 17, 2014
✔ NPI 1568872216 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 · 2361
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.
4300 W 147TH ST., Apple Valley, MN 55124
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jon Butala 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 ID9234589235
PECOS Enrollment IDI20240102003864
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jon Butala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
0.9 mi
General Practice
15350 ENGLISH AVE
Apple Valley, MN 55124
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1073668877 (952) 431-8583
Fairview Express Care
4.3 mi
Multi-Specialty
14101 FAIRVIEW DRIVE, STE 300
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1083806772 (952) 892-2650
Fairview Specialty Services
15 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
Range Regional Health Services
185 mi
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
NPI 1356321699 (218) 262-4881

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jon Butala's NPI number?

The NPI number for Jon Butala is 1568872216. It was assigned to this individual provider in the NPPES registry on May 4, 2014.

Where is Jon Butala located?

Jon Butala practices at 4300 W 147th St. Suite 204, Apple Valley, MN 55124. The listed phone number is (952) 997-3020.

What is Jon Butala's specialty?

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

Is Jon Butala enrolled in Medicare?

Yes. Jon Butala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jon Butala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Butala reassigns Medicare benefits to 4 organizations: Group Health, Inc. (Apple Valley, MN), Fairview Express Care (Burnsville, MN), Fairview Specialty Services (Saint Paul, MN) and Range Regional Health Services (Hibbing, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Butala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Butala accept?

Health plans from HealthPartners and Sanford Health Plan list Jon Butala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Butala was last updated on July 17, 2014. 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.