ANGELA ROSE ACKERMAN LPCC
NPI 1235644386
Counselor - Professional in Brainerd, MN
About Angela Rose Ackerman Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA ROSE ACKERMAN LPCC (NPI 1235644386) is an individual professional provider in Brainerd, Minnesota, licensed in Minnesota (CC0166) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brainerd.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Rose Ackerman Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Ackerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRAINERD, MN 56401
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 Angela Ackerman's NPI number?
The NPI number for Angela Ackerman is 1235644386. It was assigned to this individual provider in the NPPES registry on December 12, 2017.
Where is Angela Ackerman located?
Angela Ackerman practices at 1001 Kingwood St Ste 127, Brainerd, MN 56401. The listed phone number is (218) 203-0307.
What is Angela Ackerman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Angela Ackerman enrolled in Medicare?
Yes. Angela Ackerman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Ackerman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Ackerman reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, 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 Angela Ackerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Ackerman was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Angela Rose Ackerman, LPCC · NPI 1235644386
Professional provider in Brainerd, Minnesota. Individual provider, active in the CMS NPPES registry since December 12, 2017.
## Identity
- **NPI:** 1235644386 (Entity type: Individual)
- **Enumerated:** December 12, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC0166 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 KINGWOOD ST STE 127, Brainerd, MN 56401-3452
- **Phone:** (218) 203-0307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235644386) · Data from the CMS NPPES public registry.