Individual provider Active NPI

Denise Eileen Zajac, LMFT

  • Marriage & Family Therapist
  • Eagan, MN
National Provider Identifier
1316386766
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2957 Issued in MN
Practice address
4273 Rosemary CT
Eagan, MN 55123-3047
Phone
(651) 249-9450
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 2957 MN Primary

Addresses

Primary practice location

4273 Rosemary CT
Eagan, MN 55123-3047

Mailing address

8519 Eagle Point Blvd
Suite 120
Lake Elmo, MN 55042-8629
Phone (661) 249-9450

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
I20250416000922 MN Practitioner - Marriage and Family Therapist 3476078239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Cities Mental Health and Couples Center LLCGroup PAC ID 3870018625, 2 clinicians

Practice addresses (Care Compare)

8519 Eagle Point Blvd
Suite 120
Lake Elmo, MN 55042-8653
Phone (651) 352-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2957MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Mental Health and Couples Center LLC Marriage & Family Therapist CurrentSince Mar 11, 2025 Accepting new patients

Locations

8519 Eagle Point Blvd
Ste 120
Lake Elmo, MN 55042
Phone (651) 206-8646

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1316386766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 EAGLE POINT BLVD",
            "address_2": "SUITE 120",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428629",
            "telephone_number": "661-249-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 ROSEMARY CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233047",
            "telephone_number": "651-249-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "DENISE",
        "middle_name": "EILEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.