Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Family Based Therapy Associates

Community/Behavioral Health Agency in Chisago City, MN · enumerated 2014 · authorized official Randall Wallace, Director.

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

National Provider Identifier

1891100293

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Registry record

Entity type Organization (Type 2)

Legal business name Family Based Therapy Associates

Practice address 11549 Lake Ln, Suite 2, Chisago City, MN, 55013

Phone (651) 257-2733

Fax (651) 257-2783

Enumeration date Jun 24, 2014

Last updated in NPPES Jun 24, 2014

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License 00789 (MN) 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 2014-06-24. Verify at npiregistry.cms.hhs.gov.

Where is Family Based Therapy Associates located?

The practice location on file with NPPES is in Chisago City, MN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-24.