Individual provider Active NPI

Swati Cerise, LAMFT

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1336504752
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2371 Issued in MN
Practice address
7600 Parklawn Ave
380
Edina, MN 55435-5125
Phone
(612) 203-2961
Fax
(952) 831-0033
NPI assigned
Dec 30, 2015
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 2371 MN Primary

Addresses

Primary practice location

7600 Parklawn Ave
380
Edina, MN 55435-5125

Mailing address

7600 Parklawn Ave
380
Edina, MN 55435-5125
Phone (612) 203-2961

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
I20240326003991 MN Practitioner - Marriage and Family Therapist 7618314626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MN Mental Health Consulting LLCGroup PAC ID 9739344227, 4 clinicians

Practice addresses (Care Compare)

7600 Parklawn Ave
Suite 380
Edina, MN 55435-5156
Phone (612) 203-2961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2371MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
MN Mental Health Consulting LLC CurrentSince Feb 3, 2024 Accepting new patients

Locations

7600 Parklawn Ave
Ste 380
Minneapolis, MN 55435
Phone (612) 203-2961

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1336504752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERISE",
        "first_name": "SWATI",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.