Individual provider Active NPI

Melissa Jennifer Sunnarborg

  • Marriage & Family Therapist
  • Monticello, MN
National Provider Identifier
1992381891
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3889 Issued in MN
Practice address
538 Walnut St
Monticello, MN 55362-8663
Phone
(320) 253-3540
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 3889 MN Primary

Addresses

Primary practice location

538 Walnut St
Monticello, MN 55362-8663

Mailing address

538 Walnut St
Monticello, MN 55362-8663
Phone (320) 253-3540

Other identifiers 1

IdentifierTypeStateIssuer
188731327MedicaidMN

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
I20240621002893 MN Practitioner - Marriage and Family Therapist 5294278933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Center for Family Counseling IncGroup PAC ID 9638075963, 9 clinicians

Practice addresses (Care Compare)

3616 School Blvd
Monticello, MN 55362-4662
Phone (320) 253-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Counseling Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

2025 Stearns Way
Ste 111
Saint Cloud, MN 56303

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1992381891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 WALNUT ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628663",
            "telephone_number": "320-253-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WALNUT ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628663",
            "telephone_number": "320-253-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNARBORG",
        "first_name": "MELISSA",
        "middle_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188731327",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.