NORTHEAST COUNSELING, P.A.
NPI 1053596577
Clinic/Center - Adolescent and Children Mental Health in Maplewood, MN
About Northeast Counseling, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST COUNSELING, P.A. (NPI 1053596577) is a healthcare organization registered as an adolescent and children mental health in Maplewood, Minnesota and active in the NPI registry since January 2008. The organization lists Tim G Scott, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Northeast Counseling, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northeast Counseling, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Northeast Counseling, P.A.'s NPI number?
The NPI number for Northeast Counseling, P.A. is 1053596577. It was assigned to this organization in the NPPES registry on January 3, 2008.
Where is Northeast Counseling, P.A. located?
Northeast Counseling, P.A. is located at 2127 County Road D E Ste A100, Maplewood, MN 55109. The listed phone number is (651) 592-1592.
What is Northeast Counseling, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Northeast Counseling, P.A. enrolled in Medicare?
Yes. Northeast Counseling, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Counseling, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeast Counseling, P.A.. 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. The largest specialties are Clinical Social Worker (4) and Marriage and Family Therapist (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeast Counseling, P.A. accept?
Health plans from HealthPartners list Northeast Counseling, P.A. 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 Northeast Counseling, P.A. was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Northeast Counseling, P.a. · NPI 1053596577
Adolescent and Children Mental Health organization in Maplewood, Minnesota. Organization record, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1053596577 (Entity type: Organization)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Tim Scott, PRESIDENT
## Practice location
- **Address:** 2127 COUNTY ROAD D E STE A100, Maplewood, MN 55109-5350
- **Phone:** (651) 592-1592 · **Fax:** (651) 429-2988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (4), Marriage and Family Therapist (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2018
- **Other identifiers:** Medicaid 1053596577 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1053596577) · Data from the CMS NPPES public registry.