Melanie Natasha Gabrielle Hultgren, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2456 Issued in MN

Practice address

12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347

Phone

(763) 306-9057

NPI assigned

Dec 16, 2016

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

Other identifiers 1

Other names 1

• Melanie Natasha Gabrielle Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• MJH Counseling LLC

  • Mental Health Counselor
  • Minnetonka, MN
  • NPI 1043902133
  NPD Authorized official
• Sonder Behavioral Health & Wellness, Inc.

  • Clinical Psychologist
  • Minnetonka, MN
  • NPI 1780031732

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1780128306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347",
            "telephone_number": "763-306-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "MELANIE",
        "middle_name": "NATASHA GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI I",
            "identifier": "1780128306",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "JACKSON",
            "middle_name": "NATASHA GABRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Huber, ARNP
• Elizabeth Marie Hudson
• Hannah Huerta, PT,DPT
• Stephen Huey, PH.D.
• Amy Elise Hughes, D.D.S.
• Allie Humphrey, PHARMD
• Megan Hundertmark, PHARMD
• Rachel A Hunkele, MPT
• Megan Hunt
• Debra Husar, NP-C

• Marriage & Family Therapist in Minnetonka, MN
• Providers in Minnetonka, 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, 2021; 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.