Melissa Mae Eickhoff

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1001 Boone Avenue North
Golden Valley, MN 55427

Phone

(952) 737-6933

Fax

(952) 209-1922

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Franklin Center

  • Adolescent and Children Mental Health Clinic/Center
  • Golden Valley, MN
  • NPI 1033637426
  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1679236368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BOONE AVENUE NORTH",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "952-737-6933",
            "fax_number": "952-209-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOONE AVENUE NORTH",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "952-737-6933",
            "fax_number": "952-209-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Williston Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451516",
            "country_code": "US",
            "telephone_number": "952-737-6933",
            "fax_number": "952-737-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Sarah Edmundson, PHD, LP
• Judy Edwards, NP
• Timothy J Ehlen, MD
• Britt Westgard Ehlert, MD
• Lucas Eichmeyer, DDS
• William Eifert, DC
• Zachary Reuven Ekstein, PA-C
• Emily Ellingson, O.D.
• Amanda Elliott, DPT
• Stacy Lynn Ellman, LPC

• Mental Health Counselor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.