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MARY LISA CHEDDA MA, LMFT
NPI 1861931966
Marriage & Family Therapist in Burnsville, MN

Active since February 22, 2017PECOS Enrolled
1500 MCANDREWS RD W STE 215, BURNSVILLE, MN 55337(952) 222-3002 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Lisa Chedda Ma, Lmft NPPES

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

MARY LISA CHEDDA MA, LMFT (NPI 1861931966) is an individual marriage & family therapist in Burnsville, Minnesota, licensed in Minnesota (4291) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861931966
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY LISA CHEDDACredential: MA, LMFT
Location Address1500 MCANDREWS RD W STE 215Burnsville, MN 55337-4445
Mailing Address1500 Mcandrews Rd W Ste 215Burnsville, MN 55337-4445 · (952) 222-3002
Phone(952) 222-3002
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 22, 2017
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1861931966 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 · 4291
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.
1500 MCANDREWS RD W STE 215, Burnsville, MN 55337
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Other Names 1

Former Name (1)Mary Little

Other Identifiers 1

Medicaid1033821632MN

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 Lisa Chedda Ma, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173012630
PECOS Enrollment IDI20251027002344
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 Chedda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Interrupted Counseling Services
Same address
Adolescent and Children Mental Health
1500 MCANDREWS RD W STE 215
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1033821632 (952) 222-3002

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.

LIFE INTERRUPTED COUNSELING SERVICES
Clinic/Center (Adolescent and Children Mental Health)
1500 MCANDREWS RD W STE 215
BURNSVILLE, MN 55337
Dakota County (952) 222-3002

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 Chedda's NPI number?

The NPI number for Mary Chedda is 1861931966. It was assigned to this individual provider in the NPPES registry on February 22, 2017. The provider is also known as Mary Little.

Where is Mary Chedda located?

Mary Chedda practices at 1500 Mcandrews Rd W Ste 215, Burnsville, MN 55337. The listed phone number is (952) 222-3002.

What is Mary Chedda's specialty?

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

Is Mary Chedda enrolled in Medicare?

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

Which organization bills Medicare for Mary Chedda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Chedda reassigns Medicare benefits to Life Interrupted Counseling Services (Burnsville, 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 Chedda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Chedda accept?

Health plans from HealthPartners list Mary Chedda 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 Chedda was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.