Individual provider Active NPI

Melissa M Anderson, LMFT, LADC

  • Marriage & Family Therapist
  • Hopkins, MN
National Provider Identifier
1063849149
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1727 Issued in MN
Practice address
10 7TH Ave N
Hopkins, MN 55343-8842
Phone
(612) 244-4600
NPI assigned
Oct 3, 2013
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302625 MN
Marriage & Family Therapist 106H00000X 1727 MN Primary

Addresses

Primary practice location

10 7TH Ave N
Hopkins, MN 55343-8842

Mailing address

1571 Robert St S Apt 444
Saint Paul, MN 55118-4491
Phone (612) 850-3568

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
I20240830001547 MN Practitioner - Marriage and Family Therapist 5890234108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Leaf TherapyGroup PAC ID 4688002579, 10 clinicians

Practice addresses (Care Compare)

2589 Hamline Ave N
Suite C
Roseville, MN 55113-3185
Phone (651) 330-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302625MNMDAddiction (Substance Use Disorder) Counselor
1727MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Therapy CurrentSince Jun 19, 2024 Accepting new patients

Locations

2589 Hamline Ave N
Ste C
Saint Paul, MN 55113
Phone (651) 330-6205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1063849149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 ROBERT ST S APT 444",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551184491",
            "telephone_number": "612-850-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 7TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438842",
            "telephone_number": "612-244-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302625",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.