CHRISTA ROSE ERICKSON – Marriage & Family Therapist, NPI 1124631742

CHRISTA ROSE ERICKSON is a healthcare provider. based in Minnetonka, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 3563 (MN). The NPI Number for CHRISTA ROSE ERICKSON is 1124631742

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTA ROSE ERICKSON
NPI
1124631742
Phone
Not provided
Address
18210 JONATHAN CIR
Enumeration Date
24 August 2020
Last Update Date
24 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128611688
Graduation Year
2016 (10 years ago)
PAC ID
4385094325
Group Practice PAC ID
3971918772
Professional Enrollment ID
I20240103001095
Address ID
MN554231001RI2400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for CHRISTA ROSE ERICKSON

  • 18210 JONATHAN CIR

    MINNETONKA, MN 553453214

    Phone:

    Type: Mailing

  • 6458 CITY WEST PKWY

    EDEN PRAIRIE, MN 553443245

    Phone: (952) 767-5900

    Type: Location

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: 2024-01-03

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
I20240103001095IMarriage 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 55345)

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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: 3971918772View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerOR
Clinical Social WorkerMN
Nurse PractitionerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

How do I look up CHRISTA ROSE ERICKSON by NPI?
Use NPI 1124631742 when you need to reference CHRISTA ROSE ERICKSON in forms, claims, or directories.
Is CHRISTA ROSE ERICKSON active in the national directory?
CHRISTA ROSE ERICKSON's public NPI profile is in an active state.
Does CHRISTA ROSE ERICKSON list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for CHRISTA ROSE ERICKSON. Clinical services aligned with this taxonomy classification.
Does CHRISTA ROSE ERICKSON practice in Minnesota?
You will see Minnetonka, Minnesota on file for CHRISTA ROSE ERICKSON alongside any extra practice locations.
How can I contact CHRISTA ROSE ERICKSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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