ROBERT JAMES NIEHOFF (LMFT) – Marriage & Family Therapist, NPI 1063996080

ROBERT JAMES NIEHOFF (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. 3684 (MN). The NPI Number for ROBERT JAMES NIEHOFF (LMFT) is 1063996080

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT JAMES NIEHOFF (LMFT)
NPI
1063996080
Phone
(320) 492-7199
Address
5604 KNOX AVE S
Enumeration Date
17 September 2018
Last Update Date
26 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124583374
Graduation Year
2015 (11 years ago)
PAC ID
3870092737
Group Practice PAC ID
4082077201
Professional Enrollment ID
I20250918003653
Address ID
MN554463677PL15605NXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for ROBERT JAMES NIEHOFF (LMFT)

  • 5604, Knox Ave South, Kenny, Southwest, Minneapolis, Hennepin County, Minnesota, 55419, United States

    MINNEAPOLIS, MN 554191506

    Phone: (320) 492-7199

    Type: Mailing

  • Rice Creek Parkway, Shoreview, Ramsey County, Minnesota, 55112, United States

    SHOREVIEW, MN 551265037

    Phone: (651) 348-7240

    Type: Location

  • 5985 Rice Creek Pkwy Ste 201

    Shoreview, MN 551265037

    Phone: (651) 348-7240

    Type: Location

  • 9400 ZANE AVE N

    BROOKLYN PARK, MN 554431814

    Phone:

    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: 2025-09-18

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
I20250918003653IMarriage 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 55419)

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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: 4082077201View full group profile
NameSpecialtyState
Nurse PractitionerND
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

How is ROBERT JAMES NIEHOFF (LMFT) identified in CMS data?
CMS-hosted NPPES data lists ROBERT JAMES NIEHOFF (LMFT) with NPI 1063996080.
Does the file indicate ROBERT JAMES NIEHOFF (LMFT) is practicing under active NPI?
Directory data currently reports ROBERT JAMES NIEHOFF (LMFT) as active.
What is ROBERT JAMES NIEHOFF (LMFT) best known for clinically?
Directory data describes ROBERT JAMES NIEHOFF (LMFT) with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Does ROBERT JAMES NIEHOFF (LMFT) list a practice location?
Patients near Minneapolis, Minnesota may find ROBERT JAMES NIEHOFF (LMFT) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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