John Mayo Anderson
Individual provider Active NPI Marriage & Family Therapist · Eden Prairie, MN
NPI 1376794552 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1376794552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2074 (MN)
- Practice address
- 7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959 - Phone
- (952) 224-2282
- Fax
- (958) 224-2284
- NPI assigned
- Oct 6, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Innovations Inc
Practice addresses (Care Compare)
1833 3Rd Ave
Anoka, MN 55303-2424
Phone (763) 421-5535
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240514002091 | MN | Practitioner - Marriage and Family Therapist | 7012358609 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Innovations, Inc. | Marriage & Family Therapist | Current |
Accepting new patients |
| West Central Counseling LLC | Mental Health | Past |
Accepting new patients |
| National Dizzy & Balance Center,LTD. | Past |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
7525 Mitchell Rd
Ste 100
Eden Prairie, MN 55344
Phone (952) 224-2282
7041 20th Ave
Hugo, MN 55038
Phone (651) 407-3631
9325 Upland Ln N
Ste 210
Maple Grove, MN 55369
Phone (612) 453-4966
6800 78th Ave N
Minneapolis, MN 55445
Phone (612) 314-0349
3601 Minnesota Dr
Ste 170
Minneapolis, MN 55435
Phone (612) 924-1421
3007 Harbor Ln N
Ste 1600
Plymouth, MN 55447
Phone (651) 748-5019
2103 County Road D E
Ste B
Saint Paul, MN 55109
Phone (651) 383-4800
2270 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 696-5000
360 Sherman St
Ste 390
Saint Paul, MN 55102
Phone (651) 383-4800
5353 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 281-5764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 2074 | MN | Yes |
Addresses
Primary practice location
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Mailing address
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Phone (952) 224-2282
Other providers in Eden Prairie, MN
- Amy Lou Anderson
- Candice Anderson
- David Anderson
- Isabelle Rayne Anderson
- James Stanley Anderson
- Joshua Charles Anderson
- Laura Anderson
- Qamar Bilaal Andrews
- Angel Home Care
- Angel Preferred Care LLC
All providers in Eden Prairie, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.