Individual provider Active NPI

Wendi Marie Anderson, DMFT, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1174815864
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2799 Issued in MN
Practice address
6950 146TH St W Ste 100
Apple Valley, MN 55124
Phone
(952) 432-1484
Fax
(952) 432-2328
NPI assigned
May 12, 2011
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 2171-124 WI
Marriage & Family Therapist 106H00000X 2799 MN Primary

Addresses

Primary practice location

6950 146TH St W Ste 100
Apple Valley, MN 55124

Mailing address

4240 Park Glen Rd
St Louis Park, MN 55416-4758
Phone (612) 925-6033

Other practice location 1

2501 Hanley Rd Ste 101
Hudson, WI 54016-8786
Phone (715) 954-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240131000224 MN Practitioner - Marriage and Family Therapist 3274986856 Reassigns benefits to 1 organization
I20240405001645 WI Practitioner - Marriage and Family Therapist 3274986856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Clinic of Psychology IncGroup PAC ID 0749171320, 136 clinicians

Practice addresses (Care Compare)

2501 Hanley Rd
Suite 101
Hudson, WI 54016-8786
Phone (715) 954-5300

6950 146TH St W
Suite 100
Apple Valley, MN 55124-8520
Phone (952) 432-1484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2799MNMDMarriage & Family Therapist
2171-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Clinic of Psychology Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

6950 146th St W
Ste 100
Apple Valley, MN 55124
Phone (952) 432-1484

4027 County Road 25
St Louis Park, MN 55416
Phone (612) 925-6033

4240 Park Glen Rd
St Louis Park, MN 55416
Phone (612) 925-6033

2501 Hanley Rd
Ste 101
Hudson, WI 54016
Phone (715) 954-5300

750 E Louisiana St
Saint Croix Falls, WI 54024
Phone (715) 483-2713

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1174815864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164758",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 146TH ST W STE 100",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-432-1484",
            "fax_number": "952-432-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Hanley Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540168786",
            "country_code": "US",
            "telephone_number": "715-954-5300",
            "fax_number": "715-954-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WENDI",
        "middle_name": "MARIE",
        "credential": "DMFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2171-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.