Individual provider Active NPI

Cynthia Diane Engelkes, M.A., L.A.M.F.T.

  • Marriage & Family Therapist
  • Minnetonka, MN
National Provider Identifier
1033445556
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1920 Issued in MN
Practice address
10505 Wayzata Blvd
Suite 101
Minnetonka, MN 55305-1502
Phone
(612) 237-6415
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1920 MN Primary

Addresses

Primary practice location

10505 Wayzata Blvd
Suite 101
Minnetonka, MN 55305-1502

Mailing address

7810 Victoria Cir
St Louis Park, MN 55426-3007
Phone (612) 237-6415

Other names 1

  • Cindy Engelkes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201004598 MN Practitioner - Marriage and Family Therapist 3072966308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Christian Recovery CenterGroup PAC ID 9638184468, 9 clinicians

Practice addresses (Care Compare)

8401 Wayzata Blvd
Suite 340
Golden Valley, MN 55426-1365
Phone (763) 566-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Recovery Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 340
Minneapolis, MN 55426
Phone (763) 556-0088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1033445556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 VICTORIA CIR",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263007",
            "telephone_number": "612-237-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD",
            "address_2": "SUITE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051502",
            "telephone_number": "612-237-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELKES",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.A.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "ENGELKES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.