MS. CHIUNG CHU WANG (MS., LMFT) – Marriage & Family Therapist, NPI 1366626178

MS. CHIUNG CHU WANG (MS., LMFT) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS., LMFT. They hold a License No. LMFT 1409 (MN). The NPI Number for MS. CHIUNG CHU WANG (MS., LMFT) is 1366626178

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHIUNG CHU WANG (MS., LMFT)
NPI
1366626178
Phone
(612) 217-2380
Address
4450 Nicollet Ave
Enumeration Date
28 December 2007
Last Update Date
21 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6515237999
Graduation Year
1999 (27 years ago)
PAC ID
2062856479
Group Practice PAC ID
5092627000
Professional Enrollment ID
I20240213004341
Address ID
MN551043435SA1919XWXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for MS. CHIUNG CHU WANG (MS., LMFT)

  • 4450 Nicollet Ave

    Minneapolis, MN 554195035

    Phone: (612) 217-2380

    Type: Location

  • 250 S 4th St Ste 510

    Minneapolis, MN 554151377

    Phone: (612) 673-3927

    Type: Location

  • 2864 Middle St Ste 100

    Little Canada, MN 551171411

    Phone: (651) 493-2055

    Type: Location

  • Church St, Southeast Pillsbury Drive, Minneapolis, Hennepin County, Minnesota, 55455-3027, United States

    MINNEAPOLIS, MN 554550222

    Phone: (612) 624-1444

    Type: Mailing

  • 1919 UNIVERSITY AVE W STE 200

    SAINT PAUL, MN 551043435

    Phone: (651) 266-7966

    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: 2024-02-13

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
I20240213004341IMarriage 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: 5092627000View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Nurse PractitionerMN
-MN
Clinical PsychologistMN
Nurse PractitionerMN
Clinical Social WorkerMN
P S Y C H I A T R YMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN

Reviews

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Frequently asked questions

How do payers reference MS. CHIUNG CHU WANG (MS., LMFT)?
For MS. CHIUNG CHU WANG (MS., LMFT), use NPI 1366626178 as the unique 10-digit identifier.
Is MS. CHIUNG CHU WANG (MS., LMFT) still an active registrant?
MS. CHIUNG CHU WANG (MS., LMFT) carries an active NPI according to the public dataset.
How would a patient describe MS. CHIUNG CHU WANG (MS., LMFT)'s focus?
For MS. CHIUNG CHU WANG (MS., LMFT), the primary taxonomy reads as Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. CHIUNG CHU WANG (MS., LMFT)?
Travel planning: use Minneapolis, Minnesota as the reference point for MS. CHIUNG CHU WANG (MS., LMFT), then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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