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

Melodie Illies

Individual provider Marriage & Family Therapist · NPI 1952662611

Melodie Illies is a Marriage and Family Therapist in Otsego, Minnesota. Qualified in 2008, 18 years ago. Practices with Parker Collins Family Mental Health PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2012
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Practice location Address checks out

16201 90th St NE Ste 200
Otsego, MN 55330-7463
Phone: (763) 746-9492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 2447 (MN)

Record details

NPI number1952662611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012
Mailing address1900 Silver Lake Rd Nw, Suite110, New Brighton, MN 55112-1786

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Parker Collins Family Mental Health Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Otsego