Active NPI
Anton Dante Evans, LMFT
- Marriage & Family Therapist
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3842
- Practice address
- 1970 Oakcrest Ave Ste 200
Roseville, MN 55113-2624 - Phone
- (651) 955-4633
- Fax
- (651) 440-9827
- NPI assigned
- Oct 13, 2020
- Last updated
- Sep 18, 2026
- Sex
- Male
- 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 | 3842 | MN | Primary |
Addresses
Primary practice location
1970 Oakcrest Ave Ste 200
Roseville, MN 55113-2624
Mailing address
9298 Central Ave NE Ste 310
Blaine, MN 55434-4219
Phone (651) 955-4633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265030134 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
245 Ruth St N
Suite 101
Saint Paul, MN 55119-4409
Phone (651) 955-4633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Mental Health Inc | Mental Health | Current | Accepting new patients |
Locations
9298 Central Ave NE
Ste 310
Minneapolis, MN 55434
Phone (651) 955-4633
1970 Oakcrest Ave
Ste 200
Roseville, MN 55113
Phone (651) 955-4633
245 Ruth St N
Ste 101
Saint Paul, MN 55119
Phone (651) 955-4633
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": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1265030134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9298 CENTRAL AVE NE STE 310",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344219",
"telephone_number": "651-955-4633",
"fax_number": "651-440-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 OAKCREST AVE STE 200",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132624",
"telephone_number": "651-955-4633",
"fax_number": "651-440-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ANTON",
"middle_name": "DANTE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265030134",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.