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MR. ALFRED CORMA JARYAN JR. MA, LMFT
NPI 1679155477
Marriage & Family Therapist in Minneapolis, MN

Active since April 22, 2021PECOS Enrolled
2400 W 64TH ST, MINNEAPOLIS, MN 55423(612) 767-7550(612) 861-6050 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, Jan 6, 2022, Apr 22, 2021 (3 updates tracked since 2021).

About Mr. Alfred Corma Jaryan Jr. Ma, Lmft NPPES

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

MR. ALFRED CORMA JARYAN JR. MA, LMFT (NPI 1679155477) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (3950) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679155477
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. ALFRED CORMA JARYAN JR.Credential: MA, LMFT
Location Address2400 W 64TH STMinneapolis, MN 55423-1001
Mailing Address2400 W 64th StMinneapolis, MN 55423-1001 · (612) 767-7550 · Fax (612) 861-6050
Phone(612) 767-7550
Fax(612) 861-6050
Sole ProprietorYes
Enumeration DateApril 22, 2021
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1679155477 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 · 3950
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.
2400 W 64TH ST, Minneapolis, MN 55423
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alfred Corma Jaryan Jr. Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

JERI ANN MULLAN OTR
Occupational Therapist
2400 W 64TH ST
MINNEAPOLIS, MN 55423
Hennepin County (612) 798-8341
STEPHANIE ZIMMERMAN
Social Worker (Clinical)
2400 W 64TH ST
RICHFIELD, MN 55423
Hennepin County (612) 331-9413
TOMAS JOHN WILDENBORG LICSW
Social Worker (Clinical)
2400 W 64TH ST
MINNEAPOLIS, MN 55423
Hennepin County (612) 861-1688
FRASER
Clinic/Center (Rehabilitation)
2400 W 64TH ST
RICHFIELD, MN 55423
Hennepin County (612) 861-1688
MRS. LETTY LEE FALLER MS,CCC-SLP
Speech-Language Pathologist
2400 W 64TH ST
RICHFIELD, MN 55423
Hennepin County (612) 798-8329
MS. CRYSTAL MARIE LUXMORE M.A. IN P.T.
Physical Therapist (Orthopedic)
2400 W 64TH ST
MINNEAPOLIS, MN 55423
Hennepin County (612) 798-8339
MARIANNE CARTWRIGHT M.S., CCC-SLP
Speech-Language Pathologist
2400 W 64TH ST
RICHFIELD, MN 55423
Hennepin County (612) 767-7904
ALYSSA OAKMAN
Speech-Language Pathologist
2400 W 64TH ST
MINNEAPOLIS, MN 55423
Hennepin County (612) 798-8346

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 Alfred Jaryan's NPI number?

The NPI number for Alfred Jaryan is 1679155477. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Alfred Jaryan located?

Alfred Jaryan practices at 2400 W 64th St, Minneapolis, MN 55423. The listed phone number is (612) 767-7550.

What is Alfred Jaryan's specialty?

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

Is Alfred Jaryan enrolled in Medicare?

Yes. Alfred Jaryan is registered in the Medicare PECOS enrollment system.

What insurance does Alfred Jaryan accept?

Health plans from Sanford Health Plan list Alfred Jaryan 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 Alfred Jaryan was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.