Mishawn Gudipati, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

7801 E Bush Lake Rd Ste 122
Edina, MN 55439-3162

Phone

(651) 401-1020

Fax

(651) 448-2829

NPI assigned

May 2, 2023

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Waters Recovery CounselingGroup PAC ID 3779086293, 2 clinicians

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.

• Healing Waters Recovery Counseling

  • Community/Behavioral Health Agency
  • Bloomington, MN
  • NPI 1881046258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1861181240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 122",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393162",
            "telephone_number": "651-401-1020",
            "fax_number": "651-448-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 122",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393162",
            "telephone_number": "651-401-1020",
            "fax_number": "651-448-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDIPATI",
        "first_name": "MISHAWN",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly B Gruber, DO
• Heather Lynn Hanson Grudzinski, LPC
• Peter Gu
• Guardian Home Care & Housing Services
• Guardian Response Systems
• Courtney Marie Iaquinto Guerrant
• Mary Guest, LICSW
• Fatuma Guhad, CNP
• Guidelink LLC
• Rachel Guillemette, CF-SLP

• Marriage & Family Therapist in Edina, MN
• Providers in Edina, 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 May 2, 2023; 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.