LIFE INTERRUPTED COUNSELING SERVICES
NPI 1033821632
Clinic/Center - Adolescent and Children Mental Health in Burnsville, MN
About Life Interrupted Counseling Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE INTERRUPTED COUNSELING SERVICES (NPI 1033821632) is a healthcare organization registered as an adolescent and children mental health in Burnsville, Minnesota and active in the NPI registry since December 2022. The organization lists Mary L Chedda, Ceo/sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Interrupted Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Interrupted Counseling Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Life Interrupted Counseling Services's NPI number?
The NPI number for Life Interrupted Counseling Services is 1033821632. It was assigned to this organization in the NPPES registry on December 15, 2022.
Where is Life Interrupted Counseling Services located?
Life Interrupted Counseling Services is located at 1500 Mcandrews Rd W Ste 215, Burnsville, MN 55337. The listed phone number is (952) 222-3002.
What is Life Interrupted Counseling Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Life Interrupted Counseling Services enrolled in Medicare?
Yes. Life Interrupted Counseling Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Interrupted Counseling Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Life Interrupted Counseling Services, in Marriage and Family Therapist and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Life Interrupted Counseling Services accept?
Health plans from HealthPartners list Life Interrupted Counseling Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Life Interrupted Counseling Services was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Life Interrupted Counseling Services · NPI 1033821632
Adolescent and Children Mental Health organization in Burnsville, Minnesota. Organization record, active in the CMS NPPES registry since December 15, 2022.
## Identity
- **NPI:** 1033821632 (Entity type: Organization)
- **Enumerated:** December 15, 2022
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Mary Chedda, CEO/SOLE PROPRIETOR
## Practice location
- **Address:** 1500 MCANDREWS RD W STE 215, Burnsville, MN 55337-4445
- **Phone:** (952) 222-3002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Marriage and Family Therapist (1), Mental Health Counselor (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2024
- **Other identifiers:** Other 1861931966 (MN); Medicaid 1861931966 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1033821632) · Data from the CMS NPPES public registry.