1. Home
  2. Directory
  3. Minnesota
  4. Maplewood
  5. Marriage Family Therapist
  6. NPI Profile

MARY ANDERSON
NPI 1124405667
Marriage & Family Therapist in Maplewood, MN

Active since May 05, 2015PECOS Enrolled
2103 B COUNTY ROAD D, MAPLEWOOD, MN 55109(651) 748-5019(651) 773-7591 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Anderson NPPES

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

MARY ANDERSON (NPI 1124405667) is an individual marriage & family therapist in Maplewood, Minnesota, licensed in Minnesota (3779) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124405667
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY ANDERSON
Location Address2103 B COUNTY ROAD DMaplewood, MN 55109
Mailing Address5800 Upper 183rd St WFarmington, MN 55024-8102 · (612) 743-0715
Phone(651) 748-5019
Fax(651) 773-7591
Sole ProprietorNo
Enumeration DateMay 5, 2015
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1124405667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 3779
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2103 B COUNTY ROAD D, Maplewood, MN 55109
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pure Potential Counseling
24 mi
Counseling
18685 DYLAN DR
Farmington, MN 55024
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1295357440 (507) 210-6898

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

ANGELA NEUMANN
Counselor (Mental Health)
2103 B COUNTY ROAD D
MAPLEWOOD, MN 55109
Ramsey County (651) 748-5019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1124405667. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Mary Anderson located?

Mary Anderson practices at 2103 B County Road D, Maplewood, MN 55109. The listed phone number is (651) 748-5019.

What is Mary Anderson's specialty?

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

Is Mary Anderson enrolled in Medicare?

Yes. Mary Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Anderson reassigns Medicare benefits to Pure Potential Counseling (Farmington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Anderson accept?

Health plans from HealthPartners list Mary Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Anderson was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.