JOHN MAYO ANDERSON – Marriage & Family Therapist, NPI 1376794552

JOHN MAYO ANDERSON is a healthcare provider. based in Eden prairie, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 2074 (MN). The NPI Number for JOHN MAYO ANDERSON is 1376794552

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MAYO ANDERSON
NPI
1376794552
Phone
(952) 224-2282
Address
7525 MITCHELL RD
Enumeration Date
6 October 2008
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634215535
Graduation Year
2009 (17 years ago)
PAC ID
7012358609
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20240514002091
Address ID
MN553032424AN1833XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for JOHN MAYO ANDERSON

  • 7525, Mitchell Road, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    SUITE 100

    EDEN PRAIRIE, MN 553441959

    Phone: (952) 224-2282

    Fax: (958) 224-2284

    Mailing address matches the actual address.

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: 2024-05-14

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
I20240514002091IMarriage 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: 6204178528View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistAK
Nurse PractitionerMN
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What is JOHN MAYO ANDERSON's NPI number?
JOHN MAYO ANDERSON's NPI is 1376794552 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JOHN MAYO ANDERSON?
For scheduling context, JOHN MAYO ANDERSON is shown as active in the registry.
What kind of doctor is JOHN MAYO ANDERSON?
JOHN MAYO ANDERSON is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is JOHN MAYO ANDERSON registered?
Use Eden Prairie, Minnesota as the headline location for JOHN MAYO ANDERSON here.
Can I trust this NPI listing for JOHN MAYO ANDERSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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