Individual provider Active NPI

Marilyn Anne Ganje-Fling, M.A.,L.P.

  • Counseling Psychologist
  • Minneapolis, MN
National Provider Identifier
1578661534
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
4500 Park Glen Rd
Suite 350
Minneapolis, MN 55416-4871
Phone
(952) 929-1905
Fax
(952) 929-1771
NPI assigned
Sep 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1330 MN
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

4500 Park Glen Rd
Suite 350
Minneapolis, MN 55416-4871

Mailing address

4839 Colfax Ave S
Minneapolis, MN 55419-5319
Phone (952) 929-1905

Other identifiers 2

IdentifierTypeStateIssuer
522K7GAOtherMNBLUE CROSS BLUE SHIELD
62-54592OtherMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1330MNMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578661534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195319",
            "telephone_number": "952-929-1905",
            "fax_number": "952-929-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD",
            "address_2": "SUITE 350",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164871",
            "telephone_number": "952-929-1905",
            "fax_number": "952-929-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJE-FLING",
        "first_name": "MARILYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A.,L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1330",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "522K7GA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "62-54592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.