Melissa Anderson, MA, LMFT
Individual provider Active NPI Marriage & Family Therapist · Eagan, MN
NPI 1265985337 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1265985337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2881 (MN)
- Practice address
- 3450 Oleary LN
Eagan, MN 55123-2340 - Phone
- (651) 365-8251
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626003172 | MN | Practitioner - Marriage and Family Therapist | 2163934852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West End Therapy Clinic LLC | Marriage & Family Therapist | Current |
Accepting new patients |
| Kreider Starrs Consulting, LLC | Past | Accepting new patients |
Locations
6465 Wayzata Blvd
Ste 710
St Louis Park, MN 55426
Phone (612) 735-8002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2881 | MN | Yes |
Addresses
Primary practice location
3450 Oleary LN
Eagan, MN 55123-2340
Mailing address
3450 Oleary LN
Eagan, MN 55123-2340
Other providers in Eagan, MN
- Arlow (Bill) William Andersen
- Amy Eileen Anderson
- Carley Anderson
- Jeff Bruce Anderson
- Jeffrey Lorin Anderson
- Sheridan M Anderson
- Jessica Anding
- Andrea Anderson PSYD LP LLC
- Amanda Andrews
- Heidi Le Andrews
All providers in Eagan, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.