MICHAEL PROEBSTLE MA, LPC
NPI 1205466125
Counselor in Eagan, MN

Q: What is Michael Proebstle's NPI number?

The NPI number for Michael Proebstle is 1205466125. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Q: What is Michael Proebstle's specialty?

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

Q: Is Michael Proebstle enrolled in Medicare?

No. Michael Proebstle has opted out of Medicare through January 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michael Proebstle was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 20, 2020Opted out of Medicare · through Jan 23, 2027

4141 OLD SIBLEY MEMORIAL HWY, EAGAN, MN 55122(612) 888-3858 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Proebstle Ma, Lpc NPPES

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

MICHAEL PROEBSTLE MA, LPC (NPI 1205466125) is an individual counselor in Eagan, Minnesota, licensed in Minnesota (2310) and active in the NPI registry since January 2020. He has opted out of Medicare through January 23, 2027.

NPPES Registry Identity

NPI1205466125

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMICHAEL PROEBSTLECredential: MA, LPC

Location Address4141 OLD SIBLEY MEMORIAL HWYEagan, MN 55122-1996

Mailing Address3763 Denmark Trl WEagan, MN 55123-1010 · (612) 888-3858

Phone(612) 888-3858

Sole ProprietorYes

Enumeration DateJanuary 20, 2020

✔ NPI 1205466125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MN · 2310

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.

4141 OLD SIBLEY MEMORIAL HWY, Eagan, MN 55122

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Proebstle Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 23, 2025 through January 23, 2027.

Opt-Out Effective DateJanuary 23, 2025

Opt-Out In Effect ThroughJanuary 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

SACRED SPIRAL RESOURCES LLC

Community/Behavioral Health