Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. ANDREA UNDLIN LMFT
NPI 1073066197
Counselor - Mental Health in Plymouth, MN

Q: What is Andrea Undlin's NPI number?

The NPI number for Andrea Undlin is 1073066197. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Q: What is Andrea Undlin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Undlin was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since July 25, 2016PECOS Enrolled

10000 HWY 55 STE 200, PLYMOUTH, MN 55441(763) 309-8413 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Oct 7, 2024 (2 updates tracked since 2024).

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About Ms. Andrea Undlin Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANDREA UNDLIN LMFT (NPI 1073066197) is an individual mental health provider in Plymouth, Minnesota, licensed in Minnesota (3317) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073066197

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ANDREA UNDLINCredential: LMFT

Location Address10000 HWY 55 STE 200Plymouth, MN 55441-6433

Mailing Address10000 Hwy 55 Ste 200Plymouth, MN 55441-6433 · (763) 309-8413

Phone(763) 309-8413

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 25, 2016

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1073066197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 3317

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 3317 (MN)

10000 HWY 55 STE 200, Plymouth, MN 55441

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andrea Undlin Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103276746

PECOS Enrollment IDI20231222002057

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN SARAH KUBISTA MSW, LICSW

Social Worker (Clinical)