Individual provider Active NPI

Anna D Scanlan, MA, LMFT

  • Marriage & Family Therapist
  • Shoreview, MN
National Provider Identifier
1346803038
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3881 Issued in MN
Practice address
4570 Churchill St Ste 220
Shoreview, MN 55126-2274
Phone
(612) 808-0953
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 3881 MN Primary

Addresses

Primary practice location

4570 Churchill St Ste 220
Shoreview, MN 55126-2274

Mailing address

4570 Churchill St Ste 220
Shoreview, MN 55126-2274
Phone (612) 808-0953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 5, 2024 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Empower You Therapy & Coaching, LLC Marriage & Family Therapist CurrentSince Apr 30, 2023 Accepting new patients

Locations

1711 County Road B W
Ste 108S
Roseville, MN 55113
Phone (612) 999-5244

4700 Lexington Ave N
Ste D
Shoreview, MN 55126
Phone (651) 483-9800

4570 Churchill St
Ste 220
Shoreview, MN 55126
Phone (612) 808-0953

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1346803038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 CHURCHILL ST STE 220",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262274",
            "telephone_number": "612-808-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 CHURCHILL ST STE 220",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262274",
            "telephone_number": "612-808-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "ANNA",
        "middle_name": "D",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

Verify at the official NPI Registry.