Megan Jennifer Oudekerk, PSYD, LMFT, RPT-S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1852 Issued in MN

Practice address

3460 Washington Dr Ste 110
Eagan, MN 55122-4301

Phone

(651) 688-0488

NPI assigned

May 8, 2007

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cedar Valley Center for Child & Family Therapy, PLLC

  • Preferred Provider Organization
  • Eagan, MN
  • NPI 1518362193
  Medicare reassignment NPD Authorized official
• Cedar Valley Center for Child & Family Therapy

  • Addiction (Substance Use Disorder) Counselor
  • Savage, MN
  • NPI 1164829925
  NPD Authorized official
• Twin Cities Play Therapy Center

  • Community/Behavioral Health Agency
  • Eagan, MN
  • NPI 1316324635
  NPD (past)
• Twin Cities Play Therapy Center, LLC

  • Marriage & Family Therapist
  • Eagan, MN
  • NPI 1013925312
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1679786099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13816 FRANCHISE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245613",
            "telephone_number": "763-229-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 WASHINGTON DR STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224301",
            "telephone_number": "651-688-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUDEKERK",
        "first_name": "MEGAN",
        "middle_name": "JENNIFER",
        "credential": "PSYD, LMFT, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasra Osman
• Russell Nathaniel Osnes, O.D.
• Kaitlyn Ostenson
• Nicole Rae Other Medicine, MSW, LICSW
• Dennis Ottenstroer, OD
• Louise Marie Ouradnik, MSW, LICSW
• Breanca Christinaunique Ousley
• Hassan Outtaleb
• Andrea R Overall Rick, LICSW
• Valerie J Overton, FNP

• Marriage & Family Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.