KIMBERLY MITLYNG LMFT
NPI 1477981397
Marriage & Family Therapist in Coon Rapids, MN
About Kimberly Mitlyng Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MITLYNG LMFT (NPI 1477981397) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (1868) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Mitlyng Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Mitlyng reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COON RAPIDS, MN 55448
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 Kimberly Mitlyng's NPI number?
The NPI number for Kimberly Mitlyng is 1477981397. It was assigned to this individual provider in the NPPES registry on November 1, 2013.
Where is Kimberly Mitlyng located?
Kimberly Mitlyng practices at 10091 Dogwood St NW Suite 110, Coon Rapids, MN 55448. The listed phone number is (763) 489-7123.
What is Kimberly Mitlyng's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kimberly Mitlyng enrolled in Medicare?
Yes. Kimberly Mitlyng is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Mitlyng's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mitlyng reassigns Medicare benefits to 3 organizations: Fairview Express Care (Blaine, MN), Fairview Specialty Services (Minneapolis, MN) and Range Regional Health Services (Hibbing, MN). Each 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 Kimberly Mitlyng's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Mitlyng accept?
Health plans from Sanford Health Plan list Kimberly Mitlyng 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 Kimberly Mitlyng was last updated on November 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kimberly Mitlyng, LMFT · NPI 1477981397
Marriage & Family Therapist provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since November 1, 2013.
## Identity
- **NPI:** 1477981397 (Entity type: Individual)
- **Enumerated:** November 1, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 1868 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10091 DOGWOOD ST NW, SUITE 110, Coon Rapids, MN 55448-5273
- **Phone:** (763) 489-7123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1023096922, Blaine, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Range Regional Health Services (NPI 1356321699, Hibbing, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1477981397) · Data from the CMS NPPES public registry.