Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon Butala, LMFT

Individual provider Marriage & Family Therapist · NPI 1568872216

Jon Butala, LMFT is a Marriage and Family Therapist in Apple Valley, Minnesota. Qualified in 2010, 16 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2014
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

4300 W 147th St Ste 204
Apple Valley, MN 55124
Phone: (952) 997-3020
Fax: (952) 997-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 2361 (MN)

Record details

NPI number1568872216
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedMay 4, 2014
Last updated in NPPESJuly 17, 2014
Mailing address1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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