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ERIC LY
NPI 1386208213
Counselor - Mental Health in Woodbury, MN

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
721 COMMERCE DR, WOODBURY, MN 55125(651) 424-4000 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Apr 25, 2019 (2 updates tracked since 2019).

About Eric Ly NPPES

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

ERIC LY (NPI 1386208213) is an individual mental health provider in Woodbury, Minnesota, licensed in Minnesota (CC04553) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386208213
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameERIC LY
Location Address721 COMMERCE DRWoodbury, MN 55125-9118
Mailing Address5110 Kirkwood Ave NLake Elmo, MN 55042-9559 · (612) 644-6835
Phone(651) 424-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 25, 2019
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1386208213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC04553
721 COMMERCE DR, Woodbury, MN 55125
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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

✔

Enrolled in Medicare and accepts Medicare assignment

Eric Ly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183155047
PECOS Enrollment IDI20241002001635
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.

NENE AISSATOU DIALLO
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
JUSTIN MUELLER
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
MARYKATHERINE F KOCOUREK
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
SABRINA L ANDERSEN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
VICTORIA ANN TODD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 445-8326
SYDNEY BOYD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
BRAI CHIA LOR
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
ALEXANDRA JEAN SCHUMACHER M.S. CCC-SLP
Speech-Language Pathologist
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 767-7222

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 Eric Ly's NPI number?

The NPI number for Eric Ly is 1386208213. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Eric Ly located?

Eric Ly practices at 721 Commerce Dr, Woodbury, MN 55125. The listed phone number is (651) 424-4000.

What is Eric Ly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eric Ly enrolled in Medicare?

Yes. Eric Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Ly accept?

Health plans from HealthPartners list Eric Ly 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 Eric Ly was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.