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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Undlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Psychological Services, P.C.
8.5 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (586) 707-7085
ANNE BYER PHD LICENSED PSYCHOLOGIST PLLC
Psychologist (Counseling)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (612) 875-9548
SUSAN JUNIS LICSW, LLC
Social Worker (Clinical)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (319) 804-9704
SELF AND RELATIONSHIP MATTERS L.L.C.
Counselor (Mental Health)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (763) 309-8413
JULIAN WALTER SACHS LICSW
Social Worker (Clinical)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (651) 243-0149
RAINBOW THERAPY CENTER PLLC
Social Worker (Clinical)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (651) 243-0149
DR. ANNE BYER PH.D.
Psychologist (Counseling)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (612) 875-9548
EMILY LORD
Social Worker (Clinical)
10000 HWY 55 STE 200
PLYMOUTH, MN 55441
Hennepin County (202) 714-1590

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 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.

Where is Andrea Undlin located?

Andrea Undlin practices at 10000 Hwy 55 Ste 200, Plymouth, MN 55441. The listed phone number is (763) 309-8413.

What is Andrea Undlin's specialty?

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

Is Andrea Undlin enrolled in Medicare?

Yes. Andrea Undlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Undlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Undlin reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). The 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 Andrea Undlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Undlin accept?

Health plans from HealthPartners list Andrea Undlin 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 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 2 months 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.