Individual provider Active NPI

Claire Debenedetto, MS, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1649938317
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4220 Issued in MN
Practice address
5123 W 98TH St # 1016
Minneapolis, MN 55437-2040
Phone
(612) 208-3472
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 4220 MN Primary

Addresses

Primary practice location

5123 W 98TH St # 1016
Minneapolis, MN 55437-2040

Mailing address

8593 Chanhassen Hills Dr S
Chanhassen, MN 55317-8108
Phone (612) 208-3472

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address claire@sankalpatwc.com Health Information Exchange (HIE)

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
I20240601000274 MN Practitioner - Marriage and Family Therapist 3072055375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14525 Hwy 7
Suite 200
Minnetonka, MN 55345-3737
Phone (612) 208-3472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4220MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Counseling and Therapy Center, Inc CurrentSince Mar 1, 2024 Accepting new patients
Claire Debenedetto LLC Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

140 W 98th St
Ste 105
Bloomington, MN 55420
Phone (612) 708-6491

5221 Viking Dr
Ste 300
Minneapolis, MN 55435
Phone (612) 849-4792

14525 Highway 7
Ste 200
Minnetonka, MN 55345
Phone (612) 208-3472

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1649938317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8593 CHANHASSEN HILLS DR S",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178108",
            "telephone_number": "612-208-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W 98TH ST # 1016",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "612-208-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDETTO",
        "first_name": "CLAIRE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "claire@sankalpatwc.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 W 98th St Ste 105",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554204800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.