Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen Johanna Gustilo

Individual provider Marriage & Family Therapist · NPI 1295273506

Ellen Johanna Gustilo is a Marriage and Family Therapist in Apple Valley, Minnesota. Qualified in 2022, 4 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7300 147th St W Ste 600
Apple Valley, MN 55124-7850
Phone: (953) 234-6299
Fax: (952) 997-3027
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4472 (MN)

Record details

NPI number1295273506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2017
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Apple Valley