MR. ROBERT WAYNE EDDY MA, LMFT
NPI 1063146538
Marriage & Family Therapist in New Brighton, MN

Q: What is Robert Eddy's NPI number?

The NPI number for Robert Eddy is 1063146538. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Q: What is Robert Eddy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Eddy was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2022PECOS Enrolled

1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112(651) 628-9566 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Robert Wayne Eddy Ma, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT WAYNE EDDY MA, LMFT (NPI 1063146538) is an individual marriage & family therapist in New Brighton, Minnesota, licensed in Minnesota (4243) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063146538

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ROBERT WAYNE EDDYCredential: MA, LMFT

Location Address1900 SILVER LAKE RD NW STE 110New Brighton, MN 55112-1789

Mailing Address10310 41st Ave NPlymouth, MN 55441-1536 · (763) 312-3660

Phone(651) 628-9566

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 12, 2022

NPPES CertifiedJuly 12, 2022

✔ NPI 1063146538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 4243

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1900 SILVER LAKE RD NW STE 110, New Brighton, MN 55112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Wayne Eddy Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375996754

PECOS Enrollment IDI20240201002468

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HAWKINSON

Counselor (Mental Health)