CENTERLIFE COUNSELING, LLC
NPI 1417283946
Counselor - Mental Health in Centerville, MN
About Centerlife Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERLIFE COUNSELING, LLC (NPI 1417283946) is a healthcare organization registered as a mental health in Centerville, Minnesota and active in the NPI registry since October 2009. The organization maintains a secondary practice location in White Bear Lake and lists Kimberly Ann Lundholm-eades, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerlife Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Centerlife Counseling, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Coon Rapids, MN 55433
Brooklyn Center, MN 55430
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 Centerlife Counseling, LLC's NPI number?
The NPI number for Centerlife Counseling, LLC is 1417283946. It was assigned to this organization in the NPPES registry on October 18, 2009.
Where is Centerlife Counseling, LLC located?
Centerlife Counseling, LLC is located at 7039 20th Ave, Centerville, MN 55038. The listed phone number is (651) 288-0332.
What is Centerlife Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Centerlife Counseling, LLC enrolled in Medicare?
Yes. Centerlife Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerlife Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Centerlife 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. The largest specialties are Clinical Social Worker (6), Clinical Psychologist (4) and Mental Health Counselor (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Centerlife Counseling, LLC accept?
Health plans from HealthPartners list Centerlife Counseling, LLC 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 Centerlife Counseling, LLC was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Centerlife Counseling, Llc · NPI 1417283946
Mental Health organization in Centerville, Minnesota. Organization record, active in the CMS NPPES registry since October 18, 2009.
## Identity
- **NPI:** 1417283946 (Entity type: Organization)
- **Enumerated:** October 18, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kimberly Lundholm-Eades, OWNER
## Practice location
- **Address:** 7039 20TH AVE, Centerville, MN 55038-9737
- **Phone:** (651) 288-0332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Clinical Psychologist (4), Mental Health Counselor (4); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417283946) · Data from the CMS NPPES public registry.