Alexis Anttila, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3286 Issued in MN

Practice address

3900 Northwoods Dr
Arden Hills, MN 55112-6966

Phone

(651) 787-9600

NPI assigned

Mar 12, 2018

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Ellie Family Services, PLLP

  dba Ellie Mental Health

  • Community/Behavioral Health Agency
  • Mendota Heights, MN
  • NPI 1740664150
  NPD (past)
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1447753843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OAKWOOD DR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551124326",
            "telephone_number": "612-481-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NORTHWOODS DR",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126966",
            "telephone_number": "651-787-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Montreal Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551162393",
            "country_code": "US",
            "telephone_number": "651-313-8080",
            "fax_number": "651-433-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "652 Bielenberg Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "55125",
            "country_code": "US",
            "telephone_number": "651-313-8080",
            "fax_number": "651-433-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4756 Banning Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "551103206",
            "country_code": "US",
            "telephone_number": "651-212-4920 x12",
            "fax_number": "651-212-4974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTTILA",
        "first_name": "ALEXIS",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anderson
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• Wallace Jay Anderson, DDS
• Nathan Matthew Andrajack
• Nadira Arale
• Arden Glades Assisted Living LLC (Arden Glades Assisted Living)
• Arden Hills Ops, LLC (New Perspective - Arden Hills)
• Arden Pharmacy & Gift
• Nicole M Arndt-Wenger, LICSW

• Marriage & Family Therapist in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.