MS. SUZANNE E DERHEIM LMFT
NPI 1548709140
Marriage & Family Therapist in Brooklyn Park, MN

Q: What is Suzanne Derheim's NPI number?

The NPI number for Suzanne Derheim is 1548709140. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Q: What is Suzanne Derheim'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 Suzanne Derheim was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 15, 2017PECOS EnrolledAccepts Medicare Assignment

5500 94TH AVE N, BROOKLYN PARK, MN 55443(763) 762-8835(763) 315-6678 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2018, Sep 11, 2018, Sep 7, 2018 and 5 more (8 updates tracked since 2017).

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About Ms. Suzanne E Derheim Lmft NPPES

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

MS. SUZANNE E DERHEIM LMFT (NPI 1548709140) is an individual marriage & family therapist in Brooklyn Park, Minnesota, licensed in Minnesota (2849) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548709140

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUZANNE E DERHEIMCredential: LMFT

Location Address5500 94TH AVE NBrooklyn Park, MN 55443-1992

Mailing Address5500 94th Ave NBrooklyn Park, MN 55443-1992 · (763) 762-8835 · Fax (763) 315-6678

Phone(763) 762-8835

Fax(763) 315-6678

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 15, 2017

Last NPPES UpdateSeptember 19, 20188 updates tracked since enumeration

✔ NPI 1548709140 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 · 2849

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.

5500 94TH AVE N, Brooklyn Park, MN 55443

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Other Identifiers 1

Medicaid355355800MN

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 and accepts Medicare assignment

Ms. Suzanne E Derheim Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709221054

PECOS Enrollment IDI20240227002246

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 Suzanne Derheim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Croix Psychiatric, LLC

24 mi

Psychiatry

7616 CURRELL BLVD, SUITE 100
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
127 clinicians in this Medicare group

NPI 1881849586 (651) 259-9700

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 20

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

MRS. SUSAN ELIZABETH PRANGE GATTO LICSW

Social Worker (Clinical)