ALEXANDRA ZICKERMANN MA, LPCC
NPI 1144974221
Counselor - Mental Health in Blaine, MN
About Alexandra Zickermann Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA ZICKERMANN MA, LPCC (NPI 1144974221) is an individual mental health provider in Blaine, Minnesota, licensed in Minnesota (3169) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexandra Zickermann Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Zickermann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Blaine, MN 55434
- Reassigned Medicare billing, Minnesota enrollment
- 20 clinicians in this Medicare group
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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLAINE, MN 55434
BLAINE, MN 55434
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 Alexandra Zickermann's NPI number?
The NPI number for Alexandra Zickermann is 1144974221. It was assigned to this individual provider in the NPPES registry on February 8, 2022.
Where is Alexandra Zickermann located?
Alexandra Zickermann practices at 9298 Central Ave NE Ste 310, Blaine, MN 55434. The listed phone number is (651) 955-4633.
What is Alexandra Zickermann's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Alexandra Zickermann enrolled in Medicare?
Yes. Alexandra Zickermann is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alexandra Zickermann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Zickermann reassigns Medicare benefits to Omni Mental Health Inc (Blaine, 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 Alexandra Zickermann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandra Zickermann accept?
Health plans from HealthPartners list Alexandra Zickermann 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 Alexandra Zickermann was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Alexandra Zickermann, MA, LPCC · NPI 1144974221
Mental Health provider in Blaine, Minnesota. Individual provider, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1144974221 (Entity type: Individual)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3169 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 9298 CENTRAL AVE NE STE 310, Blaine, MN 55434-4219
- **Phone:** (651) 955-4633 · **Fax:** (651) 440-9827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Omni Mental Health Inc (NPI 1891110177, Blaine, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144974221) · Data from the CMS NPPES public registry.