JANE KANAN (LMFT) – Marriage & Family Therapist, NPI 1043778939

JANE KANAN (LMFT) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 3653 (MN). The NPI Number for JANE KANAN (LMFT) is 1043778939

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JANE KANAN (LMFT)
NPI
1043778939
Phone
(612) 871-1454
Address
1100 GLENWOOD AVE
Enumeration Date
9 March 2019
Last Update Date
9 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524968481
Graduation Year
2015 (11 years ago)
PAC ID
1254781982
Group Practice PAC ID
4587605225
Professional Enrollment ID
I20231221001342
Address ID
MN553791220SH200XXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for JANE KANAN (LMFT)

  • Washburn Center for Children, 1100, Glenwood Avenue, Sumner-Glenwood, Minneapolis, Hennepin County, Minnesota, 55405, United States

    MINNEAPOLIS, MN 554051430

    Phone: (612) 871-1454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221001342IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587605225View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
-MN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the registry number for JANE KANAN (LMFT)?
The registry entry for JANE KANAN (LMFT) shows NPI 1043778939.
Quick check: is JANE KANAN (LMFT) active?
Public NPPES data shows JANE KANAN (LMFT) with an active NPI status right now.
What does the directory say JANE KANAN (LMFT) does?
Insurance directories may phrase it differently, but here JANE KANAN (LMFT) maps to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JANE KANAN (LMFT)?
JANE KANAN (LMFT) is associated with Minneapolis, Minnesota in the same public data insurers reference.
Who maintains JANE KANAN (LMFT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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