Individual provider Active NPI

Shanna Lee Frenzen, M.A.

  • Marriage & Family Therapist
  • Eden Prairie, MN
National Provider Identifier
1639237852
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1949 Issued in MN
Practice address
7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Phone
(952) 224-2282
Fax
(952) 224-2284
NPI assigned
Dec 4, 2006
Last updated
Feb 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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 1949 MN Primary

Addresses

Primary practice location

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959

Mailing address

7525 Mitchell Rd
Suite 100
Eden Prairie, MN 55344-1959
Phone (952) 224-2282

Other identifiers 1

IdentifierTypeStateIssuer
1639237852MedicaidMN

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
I20240214001403 MN Practitioner - Marriage and Family Therapist 4789028150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Panoramic Perspectives Therapy and Training, PA CurrentSince Dec 26, 2024 Accepting new patients
Ellie Family Services, PLLP CurrentSince Dec 26, 2024 Accepting new patients
West Central Counseling LLC Marriage & Family Therapist PastSince Jun 6, 2021 Accepting new patients

Locations

17645 Juniper Path
Ste 105
Lakeville, MN 55044
Phone (952) 600-8191

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1639237852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "952-224-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-224-2282",
            "fax_number": "952-224-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENZEN",
        "first_name": "SHANNA",
        "middle_name": "LEE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639237852",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.