Active NPI
Vessela M Kouneva
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1124080742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1008LMFT
- Practice address
- 2649 Park Ave
Minneapolis, MN 55407 - Phone
- (612) 676-1604
- Fax
- (612) 379-8235
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1008LMFT | MN | Primary |
Addresses
Primary practice location
2649 Park Ave
Minneapolis, MN 55407
Mailing address
2649 Park Ave
Minneapolis, MN 55407
Phone (612) 676-1604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 15, 2025 through May 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008LMFT | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124080742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-676-1604",
"fax_number": "612-379-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55407",
"telephone_number": "612-676-1604",
"fax_number": "612-379-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUNEVA",
"first_name": "VESSELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1008LMFT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.