CHILD AND FAMILY SPECIALTY CLINIC P A
NPI 1376765529
Counselor - Mental Health in Minneapolis, MN

Active since May 03, 2007
4748 CHICAGO AVE STE 1, MINNEAPOLIS, MN 55407(612) 821-1920(612) 821-1919 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Sep 11, 2025, Aug 22, 2020 (3 updates tracked since 2020).

About Child And Family Specialty Clinic P A NPPES

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

CHILD AND FAMILY SPECIALTY CLINIC P A (NPI 1376765529) is a healthcare organization registered as a mental health in Minneapolis, Minnesota and active in the NPI registry since May 2007. The organization lists Jeanne Ellen Gilfix, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376765529
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHILD AND FAMILY SPECIALTY CLINIC P A
Location Address4748 CHICAGO AVE STE 1Minneapolis, MN 55407-4311
Mailing Address4748 Chicago Ave Ste 1Minneapolis, MN 55407-4311 · (952) 250-6948 · Fax (612) 821-1919
Fax(612) 821-1919
Organization SubpartNo
Authorized OfficialJeanne Ellen GilfixCfo · (612) 821-1920
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1376765529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 00215
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 15301 (MN), 9839 (MN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1075 (MN)
4748 CHICAGO AVE STE 1, Minneapolis, MN 55407

Other Identifiers 1

Medicaid128423100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Child And Family Specialty Clinic P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Child And Family Specialty Clinic P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1548487838
4748 CHICAGO AVE STE 1
Minneapolis, MN 55407
(612) 821-1920
✔ PECOSSame address

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

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 Child And Family Specialty Clinic P A's NPI number?

The NPI number for Child And Family Specialty Clinic P A is 1376765529. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Child And Family Specialty Clinic P A located?

Child And Family Specialty Clinic P A is located at 4748 Chicago Ave Ste 1, Minneapolis, MN 55407. The listed phone number is (612) 821-1920.

What is Child And Family Specialty Clinic P A's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Child And Family Specialty Clinic P A enrolled in Medicare?

Yes. Child And Family Specialty Clinic P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Child And Family Specialty Clinic P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Child And Family Specialty Clinic P A. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Child And Family Specialty Clinic P A accept?

Health plans from HealthPartners list Child And Family Specialty Clinic P A 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 Child And Family Specialty Clinic P A was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.