Child and Family Specialty Clinic P a

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00215 Issued in MN

Legal business name

CHILD AND FAMILY SPECIALTY CLINIC P A

Practice address

4748 Chicago Ave Ste 1
Minneapolis, MN 55407-4311

Phone

(612) 821-1920

Fax

(612) 821-1919

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Jeanne Ellen GilfixNPI 1548487838

Title

Cfo

Phone

(612) 821-1920

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Ellen Gilfix

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1548487838
  Medicare reassignment NPD Authorized official
• Helga Dale, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1306927165
  NPD (past)
• Deirdre McKiernan, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1346327574
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1376765529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 CHICAGO AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074311",
            "telephone_number": "952-250-6948",
            "fax_number": "612-821-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 CHICAGO AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074311",
            "telephone_number": "612-821-1920",
            "fax_number": "612-821-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY SPECIALTY CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "GILFIX",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-821-1920"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00215",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "9839",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15301",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128423100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Lake Dental
• Chicago Lake Family Dental LLC
• Elizabeth Ann Chidothe, RN, CNP
• Kate Chies, NP
• Liza Carol Chigos, LPCC, LADC
• Alissa Lynn Childers
• Paula Margaret Childers, LICSW
• Children'S Clinic Network
• Children'S Health Care
• Children'S Health Care

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.