Melissa Mrozek, MA, LMFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3749 Issued in MN

Practice address

3460 Washington Dr Ste 110
Eagan, MN 55122-4301

Phone

(612) 412-4134

NPI assigned

Mar 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar Valley Center for Child & Family Therapy, PLLC

  • Preferred Provider Organization
  • Eagan, MN
  • NPI 1518362193
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1306472915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9728 16TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252525",
            "telephone_number": "612-986-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "612-412-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Snelling Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551042878",
            "country_code": "US",
            "telephone_number": "651-207-7718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MROZEK",
        "first_name": "MELISSA",
        "credential": "MA, LMFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304818",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Moses, RN CDE
• Mountain Psychotherapy & Emdr
• Jessica Mountain, LICSW
• Mr.Reliable Transportation LLC
• Rebecca Ann Mrak, BEHAVIORAL THERAPIST
• Gary P Muchow, LMFT
• Britt Mudge, MASSAGE THERAPIST
• Kathleen Muffly, MD
• Mulu Home Care Services Inc
• Eileen Carol Mumford, LMT

• Marriage & Family Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.