Active NPI
Yaneth Annette Cunningham, LMFT
- Marriage & Family Therapist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3693
- Practice address
- 8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320 - Phone
- (800) 336-5973
- Fax
- (612) 234-4689
- NPI assigned
- Jun 8, 2019
- Last updated
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3693 | MN | Primary |
Addresses
Primary practice location
8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320
Mailing address
8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320
Phone (800) 336-5973
Other practice location 1
8350 Aldrich Ave S
Bloomington, MN 55420-2259
Phone (952) 334-4675
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8120 Penn Ave S
Suite 270
Bloomington, MN 55431-1320
Phone (800) 336-5973
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3693 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Mental Health, GBC | Single Specialty | Current | Accepting new patients |
| Catalyst Mental Health, GBC | Single Specialty | Current | Accepting new patients |
| Eden Therapy Center, LLC | Single Specialty | Past | Accepting new patients |
Locations
1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973
8120 Penn Ave S
Ste 270
Minneapolis, MN 55431
Phone (800) 336-5973
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1134490147
Single Specialty
-
dba Catalyst Mental Health, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Dora, FL
- NPI 1639911167
Single Specialty
-
dba Eden Therapy Center
- Mental Health Counselor
- Eden Prairie, MN
- NPI 1275037277
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1417516931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 270",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311320",
"telephone_number": "800-336-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 270",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311320",
"telephone_number": "800-336-5973",
"fax_number": "612-234-4689"
}
],
"practiceLocations": [
{
"address_1": "8350 Aldrich Ave S",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554202259",
"country_code": "US",
"telephone_number": "952-334-4675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "YANETH",
"middle_name": "ANNETTE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-08",
"last_updated": "2023-12-20",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.