Individual provider Active NPI

Cynthia Miller Gill, LMFT

  • Marriage & Family Therapist
  • Chanhassen, MN
National Provider Identifier
1497906689
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1813 Issued in MN
Practice address
7945 Stone Creek Dr Ste 140
Chanhassen, MN 55317-4606
Phone
(529) 974-3999
Fax
(952) 974-3780
NPI assigned
Oct 6, 2008
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1813 MN Primary

Addresses

Primary practice location

7945 Stone Creek Dr Ste 140
Chanhassen, MN 55317-4606

Mailing address

7945 Stone Creek Dr Ste 140
Chanhassen, MN 55317-4606
Phone (952) 974-3999

Other identifiers 1

IdentifierTypeStateIssuer
1497906689MedicaidMN

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
I20240429000082 MN Practitioner - Marriage and Family Therapist 7719327477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minnesota Teen Challenge, IncGroup PAC ID 0840656856, 22 clinicians

Practice addresses (Care Compare)

2000 Plymouth Rd
Suite 300
Minnetonka, MN 55305-2335
Phone (612) 373-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Recovery Center CurrentSince Mar 17, 2024 Accepting new patients
Minnesota Teen Challenge, Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

740 E 24th St
Minneapolis, MN 55404
Phone (612) 238-6238

8401 Wayzata Blvd
Ste 340
Minneapolis, MN 55426
Phone (763) 556-0088

2000 Plymouth Rd
Ste 300
Minnetonka, MN 55305
Phone (612) 360-6466

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

Organizations & group practices 2

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": "1524787200000",
    "number": "1497906689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "952-974-3999",
            "fax_number": "952-974-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "529-974-3999",
            "fax_number": "952-974-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "CYNTHIA",
        "middle_name": "MILLER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497906689",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.