Individual provider Active NPI

Melanie Edmonds, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1780229567
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2240 Issued in MN
Practice address
3217 Hennepin Ave Ste 3
Minneapolis, MN 55408-4695
Phone
(612) 460-7098
Fax
(855) 384-1883
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2240 MN Primary

Addresses

Primary practice location

3217 Hennepin Ave Ste 3
Minneapolis, MN 55408-4695

Mailing address

5645 13TH Ave S
Minneapolis, MN 55417-2526
Phone (612) 823-6837

Other practice location 1

5645 13th Ave S
Minneapolis, MN 55417-2526
Phone (612) 823-6837 ext. 61282

Other practice location 2

1032 Grand Ave Ste 100
Saint Paul, MN 55105-3064
Phone (612) 460-7098

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
I20240401001541 MN Practitioner - Marriage and Family Therapist 7911345632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Through Therapy Collective, Inc Marriage & Family Therapist CurrentSince Feb 17, 2024 Accepting new patients

Locations

3217 Hennepin Ave
Ste 3
Minneapolis, MN 55408
Phone (612) 460-7098

1032 Grand Ave
Ste 100
Saint Paul, MN 55105
Phone (612) 460-7098

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

Organizations & group practices 1

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1780229567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 13TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172526",
            "telephone_number": "612-823-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 HENNEPIN AVE STE 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084695",
            "telephone_number": "612-460-7098",
            "fax_number": "855-384-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554172526",
            "country_code": "US",
            "telephone_number": "612-823-6837 x61282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Grand Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053064",
            "country_code": "US",
            "telephone_number": "612-460-7098",
            "fax_number": "855-384-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "MELANIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.