Individual provider Active NPI

Chelsea Mangen, LMFT

  • Marriage & Family Therapist
  • New Ulm, MN
National Provider Identifier
1578091708
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3155 Issued in MN
Practice address
1226 S Broadway St
New Ulm, MN 56073-3454
Phone
(507) 359-2080
Fax
(855) 847-9876
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 3155 MN Primary

Addresses

Primary practice location

1226 S Broadway St
New Ulm, MN 56073-3454

Mailing address

1420 N State St
Fairmont, MN 56031-3619

Other practice location 1

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

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
I20240119003710 MN Practitioner - Marriage and Family Therapist 7911359401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

1600 Madison Ave
Suite 110
Mankato, MN 56001-5820
Phone (651) 313-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Family Resource Center PA CurrentSince Apr 18, 2008 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist CurrentSince Apr 13, 2026 Accepting new patients

Locations

1420 N State St
Fairmont, MN 56031
Phone (507) 235-6070

1600 Madison Ave
Ste 110
Mankato, MN 56001
Phone (507) 344-0572

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

1226 S Broadway St
New Ulm, MN 56073
Phone (507) 359-1818

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1578091708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 S BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733454",
            "telephone_number": "507-359-2080",
            "fax_number": "855-847-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 N State St",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560313619",
            "country_code": "US",
            "telephone_number": "507-235-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGEN",
        "first_name": "CHELSEA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.