Individual provider Active NPI

John Mayo Anderson

  • Marriage & Family Therapist
  • Eden Prairie, MN
National Provider Identifier
1376794552
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2074 Issued in 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
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 2074 MN Primary

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

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
I20240514002091 MN Practitioner - Marriage and Family Therapist 7012358609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

1833 3Rd Ave
Anoka, MN 55303-2424
Phone (763) 421-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2074MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Marriage & Family Therapist CurrentSince Feb 26, 2024 Accepting new patients
National Dizzy & Balance Center,LTD. PastSince Jul 9, 2007 Accepting new patients
West Central Counseling LLC Mental Health PastSince Jun 6, 2021 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

3601 Minnesota Dr
Ste 170
Minneapolis, MN 55435
Phone (651) 214-8039

6800 78th Ave N
Minneapolis, MN 55445
Phone (612) 314-0349

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) 221-0302

5353 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (833) 934-0244

Organizations & group practices 3

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1376794552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "958-224-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "958-224-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "MAYO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.