Organization Active NPI

Twin Cities Mental Health and Couples Center LLC

  • Marriage & Family Therapist
  • Lake Elmo, MN
National Provider Identifier
1922474188
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2957 Issued in MN
Legal business name
TWIN CITIES MENTAL HEALTH AND COUPLES CENTER LLC
Practice address
8519 Eagle Point Blvd Ste 120
Lake Elmo, MN 55042-8653
Phone
(651) 352-2333
NPI assigned
Aug 11, 2015
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Ms. Denise Eileen Zajac, LMFTNPI 1316386766
Title
Co-Owner
Phone
(651) 249-9450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2957 MN Primary

Addresses

Primary practice location

8519 Eagle Point Blvd Ste 120
Lake Elmo, MN 55042-8653

Mailing address

2353 Rice St
Suite 206
Roseville, MN 55113-3739
Phone (651) 249-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415001523 MN Part B Supplier - Clinic/Group Practice 3870018625 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Elmo, MN

National Provider Directory

National Provider Directory

Locations

8519 Eagle Point Blvd
Ste 120
Lake Elmo, MN 55042
Phone (651) 206-8646

2353 Rice St
Ste 206
Roseville, MN 55113
Phone (651) 483-8148

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1922474188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST",
            "address_2": "SUITE 206",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-249-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 EAGLE POINT BLVD STE 120",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428653",
            "telephone_number": "651-352-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES MENTAL HEALTH AND COUPLES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "ZAJAC",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-249-9450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.