Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Family Based Therapy Associates

Mental Health Counselor in Coon Rapids, MN · enumerated 2006 · authorized official Randall Wallace, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194762005

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Registry record

Entity type Organization (Type 2)

Legal business name Family Based Therapy Associates

Practice address 199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN, 55433

Phone (763) 780-1520

Fax (763) 780-2114

Enumeration date May 31, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Randall Wallace

Title Director

Phone (763) 780-1520

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Family Based Therapy Associates located?

The practice location on file with NPPES is in Coon Rapids, MN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.