KRISTY DUNHAM (LMFT) – Mental Health Counselor, NPI 1124377080

KRISTY DUNHAM (LMFT) is a healthcare provider. based in Eden prairie, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 2921 (MN). The NPI Number for KRISTY DUNHAM (LMFT) is 1124377080

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY DUNHAM (LMFT)
NPI
1124377080
Phone
(952) 746-2522
Address
11010 Prairie Lakes Dr Ste 350
Enumeration Date
6 September 2012
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512082767
Graduation Year
2013 (13 years ago)
PAC ID
0941711378
Group Practice PAC ID
2365895521
Professional Enrollment ID
I20250613000693
Address ID
MN554063312MI4220XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for KRISTY DUNHAM (LMFT)

  • 11010 Prairie Lakes Dr Ste 350

    Eden Prairie, MN 553443801

    Phone: (952) 746-2522

    Fax: (952) 746-0887

    Type: Location

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone: (651) 628-9566

    Fax: (651) 628-0411

    Type: Mailing

  • 5725 LOFTUS LN

    SAVAGE, MN 553782717

    Phone: (952) 952-6120

    Fax: (952) 950-6121

    Type: Location

  • 2860 179TH ST E

    PRIOR LAKE, MN 553722857

    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: 2025-06-13

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
I20250613000693IMarriage 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 55344)

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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: 2365895521View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for KRISTY DUNHAM (LMFT)?
Save NPI 1124377080 if you need a stable reference for KRISTY DUNHAM (LMFT).
Is KRISTY DUNHAM (LMFT) active in the national directory?
KRISTY DUNHAM (LMFT)'s public NPI profile is in an active state.
What does KRISTY DUNHAM (LMFT) treat or focus on?
Patients typically see KRISTY DUNHAM (LMFT) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is KRISTY DUNHAM (LMFT)'s primary listing?
We display Eden Prairie, Minnesota because that is what the record indicates for KRISTY DUNHAM (LMFT).
Is KRISTY DUNHAM (LMFT) a real provider?
This page reflects official NPPES data for NPI 1124377080. Always confirm identity and privileges with the practice and licensing boards.

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