ALEXIS ANTTILA (MA, LMFT) – Marriage & Family Therapist, NPI 1447753843
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXIS ANTTILA (MA, LMFT)
652 Bielenberg Dr Ste 104
Woodbury, MN 55125
Phone: (651) 313-8080
Fax: (651) 433-7122
Type: Location
1150 Montreal Ave Ste 107
Saint Paul, MN 551162393
Phone: (651) 313-8080
Fax: (651) 433-7122
Type: Location
4756 Banning Ave Ste 213
White Bear Lake, MN 551103206
Phone: (651) 212-4920
Fax: (651) 212-4974
Type: Location
Bielenberg Drive, Steepleview Place, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 55125
Phone: (651) 313-8080
Fax: (651) 433-7122
Type: Location
3900 NORTHWOODS DR
ARDEN HILLS, MN 551126966
Phone: (651) 787-9600
Type: Location
St Paul, Oakwood Road, Farnborough, London Borough of Bromley, London, Greater London, England, BR6 8JH, United Kingdom
SAINT PAUL, MN 551124326
Phone: (612) 481-5533
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: 2023-12-19
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231219000963 | I | Marriage And Family Therapist | MN | TBD |
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.
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 55125)
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