MARTHA ANDERSON (LMFT) – Marriage & Family Therapist, NPI 1063431815

MARTHA ANDERSON (LMFT) is a healthcare provider. based in Edina, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 1291 (MN). The NPI Number for MARTHA ANDERSON (LMFT) is 1063431815

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA ANDERSON (LMFT)
NPI
1063431815
Phone
(952) 903-1311
Address
6363 FRANCE AVE S
Enumeration Date
19 July 2006
Last Update Date
6 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524286332
Graduation Year
1989 (37 years ago)
PAC ID
8426400508
Group Practice PAC ID
4587997259
Professional Enrollment ID
I20240115001430
Address ID
MN554224805GO4284XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for MARTHA ANDERSON (LMFT)

  • 6363, France Avenue South, Edina, Hennepin County, Minnesota, 55410, United States

    EDINA, MN 554352129

    Phone: (952) 903-1311

    Type: Mailing

  • 7066 Stillwater Blvd N

    Oakdale, MN 551283937

    Phone: (651) 777-5222

    Fax: (651) 251-5111

    Type: Location

  • 4284 DAHLBERG DR

    GOLDEN VALLEY, MN 554224805

    Phone: (952) 428-6332

    Type: Mailing

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: 2024-01-15

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
I20240115001430IMarriage 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 55435)

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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: 4587997259View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Where can patients find MARTHA ANDERSON (LMFT)'s NPI?
You can confirm MARTHA ANDERSON (LMFT) with NPI 1063431815; it appears in the national provider directory.
Is MARTHA ANDERSON (LMFT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARTHA ANDERSON (LMFT)?
The page reflects Marriage & Family Therapist for MARTHA ANDERSON (LMFT). Clinical services aligned with this taxonomy classification.
Where is MARTHA ANDERSON (LMFT)'s primary listing?
We display Edina, Minnesota because that is what the record indicates for MARTHA ANDERSON (LMFT).
Is MARTHA ANDERSON (LMFT) a real provider?
This page reflects official NPPES data for NPI 1063431815. Always confirm identity and privileges with the practice and licensing boards.

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