Individual provider Active NPI

Anton Dante Evans, LMFT

  • Marriage & Family Therapist
  • Roseville, MN
National Provider Identifier
1265030134
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3842 Issued in MN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 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

IdentifierTypeStateIssuer
1265030134MedicaidMN

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
I20260115002008 MN Practitioner - Marriage and Family Therapist 6305322769 Reassigns benefits to 1 organization

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
Omni Mental Health IncGroup PAC ID 1557804390, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Omni Mental Health Inc Mental Health CurrentSince Feb 1, 2026 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

Verify at the official NPI Registry.