Individual provider Active NPI

Mallory Candell, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1053740464
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2692 Issued in MN
Practice address
345 University Ave W
Suite a
Saint Paul, MN 55103-2091
Phone
(651) 207-3796
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2268-124 WI
Marriage & Family Therapist 106H00000X 2692 MN Primary

Addresses

Primary practice location

345 University Ave W
Suite a
Saint Paul, MN 55103-2091

Mailing address

345 University Ave W
Suite a
Saint Paul, MN 55103-2091
Phone (651) 207-3796

Other practice location 1

11185 Lake Blvd
Chisago City, MN 55013-9817
Phone (651) 755-4276

Other practice location 2

12814 Lake Blvd
Lindstrom, MN 55045-9345
Phone (651) 755-4276

Other practice location 3

6230 10th St N Ste 220
Oakdale, MN 55128-6160
Phone (651) 755-4276

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
I20250424001939 MN Practitioner - Marriage and Family Therapist 6709302508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Kids and Adults PLLCGroup PAC ID 9032649504, 5 clinicians

Practice addresses (Care Compare)

12814 Lake Blvd
Lindstrom, MN 55045-9345
Phone (651) 755-4276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2692MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Kids and Adults PLLC Marriage & Family Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

11185 Lake Blvd
Chisago City, MN 55013
Phone (651) 755-4276

6230 10th St N
Ste 220
Oakdale, MN 55128
Phone (651) 739-2300

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1053740464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 UNIVERSITY AVE W",
            "address_2": "SUITE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032091",
            "telephone_number": "651-207-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 UNIVERSITY AVE W",
            "address_2": "SUITE A",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032091",
            "telephone_number": "651-207-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11185 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Chisago City",
            "state": "MN",
            "postal_code": "550139817",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12814 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459345",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6230 10th St N Ste 220",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551286160",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELL",
        "first_name": "MALLORY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2268-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.