COLLEEN LEE CHUNG LMFT
NPI 1992476022
Marriage & Family Therapist in Lakeville, MN

Active since September 28, 2021PECOS Enrolled
10535 165TH ST W, LAKEVILLE, MN 55044(952) 435-0022 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2024, Sep 28, 2021 (2 updates tracked since 2021).

About Colleen Lee Chung Lmft NPPES

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

COLLEEN LEE CHUNG LMFT (NPI 1992476022) is an individual marriage & family therapist in Lakeville, Minnesota, licensed in Minnesota (3734) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992476022
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCOLLEEN LEE CHUNGCredential: LMFT
Location Address10535 165TH ST WLakeville, MN 55044-5729
Mailing Address10535 165th St WLakeville, MN 55044-5729 · (952) 435-0022
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1992476022 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 · 3734
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.
10535 165TH ST W, Lakeville, MN 55044

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Lee Chung Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Mental Health
10535 165TH ST W
Lakeville, MN 55044
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 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 18

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

Counselor (Professional)
10535 165TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
10535 165TH ST W
LAKEVILLE, MN 55044
Marriage & Family Therapist
10535 165TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
10535 165TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
10535 165TH ST W
LAKEVILLE, MN 55044
Marriage & Family Therapist
10535 165TH ST W
LAKEVILLE, MN 55044
Counselor (Professional)
10535 165TH ST W
LAKEVILLE, MN 55044
Psychologist (Cognitive & Behavioral)
10535 165TH ST W
LAKEVILLE, MN 55044

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 Colleen Chung's NPI number?

The NPI number for Colleen Chung is 1992476022. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Colleen Chung located?

Colleen Chung practices at 10535 165th St W, Lakeville, MN 55044. The listed phone number is (952) 435-0022.

What is Colleen Chung's specialty?

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

Is Colleen Chung enrolled in Medicare?

Yes. Colleen Chung is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colleen Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Chung reassigns Medicare benefits to Fairweather Investments, LLC (Lakeville, 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 Colleen Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colleen Chung was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.