Individual provider Active NPI

Angie Gwiazdon, LMFT, MSE

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1982650214
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1211 Issued in MN
Practice address
4284 Dahlberg Dr
Golden Valley, MN 55422-4805
Phone
(952) 428-6332
Fax
(612) 374-4498
NPI assigned
May 26, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1211 MN Primary

Addresses

Primary practice location

4284 Dahlberg Dr
Golden Valley, MN 55422-4805

Mailing address

4284 Dahlberg Dr
Golden Valley, MN 55422-4805
Phone (952) 428-6332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caspersen LLCGroup PAC ID 4587997259, 4 clinicians

Practice addresses (Care Compare)

4284 Dahlberg Dr
Golden Valley, MN 55422-4805
Phone (952) 428-6332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caspersen, LLC CurrentSince Jun 1, 2026 Accepting new patients
Kenwood Therapy Center, LLC Mental Health Past Accepting new patients

Locations

4284 Dahlberg Dr
Minneapolis, MN 55422
Phone (952) 428-6332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1982650214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 DAHLBERG DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224805",
            "telephone_number": "952-428-6332",
            "fax_number": "612-374-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 DAHLBERG DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224805",
            "telephone_number": "952-428-6332",
            "fax_number": "612-374-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWIAZDON",
        "first_name": "ANGIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, MSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.