MATTHEW WATNEMO LPCC
NPI 1104653005
Counselor - Professional in Lino Lakes, MN

Active since September 16, 2024PECOS EnrolledAccepts Medicare Assignment
6776 LAKE DR STE 170, LINO LAKES, MN 55014(651) 356-8741 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Watnemo Lpcc NPPES

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

MATTHEW WATNEMO LPCC (NPI 1104653005) is an individual professional provider in Lino Lakes, Minnesota, licensed in Minnesota (4590) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104653005
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW WATNEMOCredential: LPCC
Location Address6776 LAKE DR STE 170Lino Lakes, MN 55014-1201
Mailing Address21000 Rogers Dr Ste 200Rogers, MN 55374-4926
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1104653005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 4590
6776 LAKE DR STE 170, Lino Lakes, MN 55014

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Watnemo Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800378894
PECOS Enrollment IDI20260309000192
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 6

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

Counselor (Mental Health)
6776 LAKE DR STE 170
LINO LAKES, MN 55014
Counselor (Mental Health)
6776 LAKE DR STE 170
LINO LAKES, MN 55014
Counselor (Mental Health)
6776 LAKE DR STE 170
LINO LAKES, MN 55014
Marriage & Family Therapist
6776 LAKE DR STE 170
LINO LAKES, MN 55014
Occupational Therapist
6776 LAKE DR STE 170
CIRCLE PINES, MN 55014
Counselor (Mental Health)
6776 LAKE DR STE 170
LINO LAKES, MN 55014

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 Matthew Watnemo's NPI number?

The NPI number for Matthew Watnemo is 1104653005. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Matthew Watnemo located?

Matthew Watnemo practices at 6776 Lake Dr Ste 170, Lino Lakes, MN 55014. The listed phone number is (651) 356-8741.

What is Matthew Watnemo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Watnemo enrolled in Medicare?

Yes. Matthew Watnemo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Watnemo accept?

Health plans from HealthPartners list Matthew Watnemo 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 Matthew Watnemo was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.