Individual provider Active NPI

Melanie M.P. Vinton, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1073832358
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2088 Issued in MN
Practice address
1154 Grand Ave Ste 2
Saint Paul, MN 55105-2628
Phone
(651) 983-3879
Fax
(651) 864-4748
NPI assigned
May 25, 2010
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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 2088 MN Primary

Addresses

Primary practice location

1154 Grand Ave Ste 2
Saint Paul, MN 55105-2628

Mailing address

1154 Grand Ave Ste 2
Saint Paul, MN 55105-2628
Phone (651) 983-3879

Other practice location 1

1043 Grand Ave
Saint Paul, MN 55105-3002
Phone (651) 983-3879

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
I20241024002827 MN Practitioner - Marriage and Family Therapist 5092256537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Invigorate Life Counseling, PLLCGroup PAC ID 3577004001, 4 clinicians

Practice addresses (Care Compare)

1205 Grand Ave
Saint Paul, MN 55105-2634
Phone (612) 619-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2088MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Invigorate Life Counseling, PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1154 Grand Ave
#2
Saint Paul, MN 55105
Phone (612) 619-7611

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1073832358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVE STE 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "651-983-3879",
            "fax_number": "651-864-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 GRAND AVE STE 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052628",
            "telephone_number": "651-983-3879",
            "fax_number": "651-864-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053002",
            "country_code": "US",
            "telephone_number": "651-983-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINTON",
        "first_name": "MELANIE",
        "middle_name": "M.P.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.