MELODIE ILLIES
NPI 1952662611
Marriage & Family Therapist in Otsego, MN

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
16201 90TH ST NE, SUITE 200, OTSEGO, MN 55330(763) 746-9492 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melodie Illies NPPES

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

MELODIE ILLIES (NPI 1952662611) is an individual marriage & family therapist in Otsego, Minnesota, licensed in Minnesota (2447) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1952662611
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMELODIE ILLIES
Location Address16201 90TH ST NE, SUITE 200Otsego, MN 55330-7463
Mailing Address1900 Silver Lake Rd Nw, Suite110New Brighton, MN 55112-1786
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 30, 2012
NPI 1952662611 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 · 2447
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.
16201 90TH ST NE, Otsego, MN 55330

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melodie Illies 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 ID9032555453
PECOS Enrollment IDI20240307003296
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.

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
16201 90TH ST NE, 200
OTSEGO, MN 55330
Psychologist (Clinical)
16201 90TH ST NE
OTSEGO, MN 55330
Nurse Practitioner (Pediatrics)
16201 90TH ST NE, SUITE 200
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
16201 90TH ST NE, SUITE 200
OTSEGO, MN 55330
Psychiatry & Neurology (Psychiatry)
16201 90TH ST NE, SUITE 200
OTSEGO, MN 55330
Chiropractor
16201 90TH ST NE, SUITE 205
OTSEGO, MN 55330
Social Worker
16201 90TH ST NE, SUITE 100
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
16201 90TH ST NE
OTSEGO, MN 55330

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 Melodie Illies's NPI number?

The NPI number for Melodie Illies is 1952662611. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Melodie Illies located?

Melodie Illies practices at 16201 90th St NE Suite 200, Otsego, MN 55330. The listed phone number is (763) 746-9492.

What is Melodie Illies's specialty?

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

Is Melodie Illies enrolled in Medicare?

Yes. Melodie Illies is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melodie Illies accept?

Health plans from HealthPartners list Melodie Illies 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 Melodie Illies was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.