NICOLE KNUDSON-DALAL LMFT, LADC
NPI 1952774218
Marriage & Family Therapist in Edina, MN

Active since November 09, 2015PECOS Enrolled
5275 EDINA INDUSTRIAL BLVD STE 103, EDINA, MN 55439(612) 636-1083 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Knudson-dalal Lmft, Ladc NPPES

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

NICOLE KNUDSON-DALAL LMFT, LADC (NPI 1952774218) is an individual marriage & family therapist in Edina, Minnesota, licensed in Minnesota (2440) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1952774218
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE KNUDSON-DALALCredential: LMFT, LADC
Location Address5275 EDINA INDUSTRIAL BLVD STE 103Edina, MN 55439-2915
Mailing Address5275 Edina Industrial Blvd Ste 103Edina, MN 55439-2915 · (612) 636-1083
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 9, 2015
✔ NPI 1952774218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2440
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303607 (MN)
5275 EDINA INDUSTRIAL BLVD STE 103, Edina, MN 55439

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)

Nicole Knudson-dalal Lmft, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921593112
PECOS Enrollment IDI20251224002508
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 Nicole Knudson-dalal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Preferred Provider Organization
3460 WASHINGTON DR., SUITE 110
Eagan, MN 55122
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 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.

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 Nicole Knudson-dalal's NPI number?

The NPI number for Nicole Knudson-dalal is 1952774218. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Nicole Knudson-dalal located?

Nicole Knudson-dalal practices at 5275 Edina Industrial Blvd Ste 103, Edina, MN 55439. The listed phone number is (612) 636-1083.

What is Nicole Knudson-dalal's specialty?

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

Is Nicole Knudson-dalal enrolled in Medicare?

Yes. Nicole Knudson-dalal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Knudson-dalal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Knudson-dalal reassigns Medicare benefits to Cedar Valley Center For Child & Family Therapy, PLLC (Eagan, 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 Nicole Knudson-dalal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Knudson-dalal accept?

Health plans from HealthPartners list Nicole Knudson-dalal 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 Nicole Knudson-dalal was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.