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MADISEN LUNDEBREK MA
NPI 1194460964
Counselor in Minneapolis, MN

Active since May 04, 2022PECOS Enrolled
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426(612) 223-8898 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madisen Lundebrek Ma NPPES

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

MADISEN LUNDEBREK MA (NPI 1194460964) is an individual counselor in Minneapolis, Minnesota and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194460964
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADISEN LUNDEBREKCredential: MA
Location Address7601 WAYZATA BLVDMinneapolis, MN 55426-1626
Mailing Address7601 Wayzata BlvdMinneapolis, MN 55426-1626
Phone(612) 223-8898
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 4, 2022
NPPES CertifiedMay 4, 2022
✔ NPI 1194460964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7601 WAYZATA BLVD, Minneapolis, MN 55426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madisen Lundebrek Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365911591
PECOS Enrollment IDI20260518002254
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 20

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

DR. JENNIFER GOZY PSYD, LP
Psychologist (Clinical)
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
GABRIELLE MARIE GEARY LPCC
Counselor (Professional)
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
HEATHER CRAIG
Counselor
7601 WAYZATA BLVD
MINNEAPOLIS, MN 55426
Hennepin County (612) 223-8898
BARBARAJEAN HARTOS-HORD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
LOUISE CHARLOTTE ROLLINS
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
AMETHYST R HANDEVIDT
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (223) 612-8898
SUSAN WOLD
Counselor
7601 WAYZATA BLVD
ST LOUIS PARK, MN 55426
Hennepin County (612) 223-8898
DR. CHRISTINE CLARK PSY.D., L.P.
Psychologist
7601 WAYZATA BLVD
SAINT LOUIS PARK, MN 55426
Hennepin County (612) 223-8899

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 Madisen Lundebrek's NPI number?

The NPI number for Madisen Lundebrek is 1194460964. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Madisen Lundebrek located?

Madisen Lundebrek practices at 7601 Wayzata Blvd, Minneapolis, MN 55426. The listed phone number is (612) 223-8898.

What is Madisen Lundebrek's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Madisen Lundebrek enrolled in Medicare?

Yes. Madisen Lundebrek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madisen Lundebrek was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.