MS. JUDITH ANN DRISCOLL L.M.F.T.
NPI 1619047594
Marriage & Family Therapist in Coon Rapids, MN

Active since November 08, 2006Opted out of Medicare · through Jun 13, 2028
199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 55433(763) 780-1520(763) 780-2114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Judith Ann Driscoll L.m.f.t. NPPES

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

MS. JUDITH ANN DRISCOLL L.M.F.T. (NPI 1619047594) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (1414) and active in the NPI registry since November 2006. She has opted out of Medicare through June 13, 2028.

NPPES Registry Identity

NPI1619047594
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JUDITH ANN DRISCOLLCredential: L.M.F.T.
Location Address199 COON RAPIDS BLVD NW, SUITE 306Coon Rapids, MN 55433-5831
Mailing Address1896 Walter StMaplewood, MN 55109-4220 · (651) 793-9495
Fax(763) 780-2114
Sole ProprietorYes
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619047594 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 · 1414
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.
199 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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. Judith Ann Driscoll L.m.f.t. 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 June 13, 2024 through June 13, 2028.

Opt-Out Effective DateJune 13, 2024
Opt-Out In Effect ThroughJune 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Marriage & Family Therapist
199 COON RAPIDS BLVD NW, SUITE 210
COON RAPIDS, MN 55433
Psychologist
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 310
COON RAPIDS, MN 55433
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Counselor
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Nurse Anesthetist, Certified Registered
199 COON RAPIDS BLVD NW, SUITE 113
COON RAPIDS, MN 55433
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Marriage & Family Therapist
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433

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 Judith Driscoll's NPI number?

The NPI number for Judith Driscoll is 1619047594. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Judith Driscoll located?

Judith Driscoll practices at 199 Coon Rapids Blvd NW Suite 306, Coon Rapids, MN 55433. The listed phone number is (763) 780-1520.

What is Judith Driscoll's specialty?

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

Is Judith Driscoll enrolled in Medicare?

No. Judith Driscoll has opted out of Medicare through June 13, 2028. 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 Judith Driscoll 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.