NEURODIVERGENTLY YOU COUNSELING LLC
NPI 1194685602
Counselor - Professional in Burnsville, MN

Active since November 17, 2025
105 HAROLD DR, BURNSVILLE, MN 55337(651) 252-4192 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neurodivergently You Counseling Llc NPPES

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

NEURODIVERGENTLY YOU COUNSELING LLC (NPI 1194685602) is a healthcare organization registered as a professional in Burnsville, Minnesota and active in the NPI registry since November 2025. The organization lists Peg Kinda, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1194685602
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameNEURODIVERGENTLY YOU COUNSELING LLC
Location Address105 HAROLD DRBurnsville, MN 55337-2785
Mailing Address105 Harold DrBurnsville, MN 55337-2785 · (651) 252-4192
Organization SubpartNo
Authorized OfficialPeg KindaCredentialing Manager · (612) 306-8499
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1194685602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
105 HAROLD DR, Burnsville, MN 55337

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neurodivergently You Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neurodivergently You Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1881240927
3450 O LEARY LANE
Eagan, MN 55123
(651) 395-5796
✔ PECOS7.6 mi

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

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 Neurodivergently You Counseling LLC's NPI number?

The NPI number for Neurodivergently You Counseling LLC is 1194685602. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Neurodivergently You Counseling LLC located?

Neurodivergently You Counseling LLC is located at 105 Harold Dr, Burnsville, MN 55337. The listed phone number is (651) 252-4192.

What is Neurodivergently You Counseling LLC's specialty?

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

Is Neurodivergently You Counseling LLC enrolled in Medicare?

Yes. Neurodivergently You Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurodivergently You Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Neurodivergently You Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neurodivergently You Counseling LLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.