Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARA NICOLE ULESICH LPC, LPCC
NPI 1427611524
Counselor - Professional in Stillwater, MN

Q: What is Mara Ulesich's NPI number?

The NPI number for Mara Ulesich is 1427611524. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Mara Ulesich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mara Ulesich was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.

Active since April 15, 2019PECOS Enrolled

1875 NORTHWESTERN AVE S, STILLWATER, MN 55082(651) 439-4840 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, May 7, 2026, Apr 15, 2019 (3 updates tracked since 2019).

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About Mara Nicole Ulesich Lpc, Lpcc NPPES

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

MARA NICOLE ULESICH LPC, LPCC (NPI 1427611524) is an individual professional provider in Stillwater, Minnesota, licensed in Minnesota (5601) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427611524

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARA NICOLE ULESICHCredential: LPC, LPCC

Location Address1875 NORTHWESTERN AVE SStillwater, MN 55082-7534

Mailing Address312 Walnut LnSomerset, WI 54025-1200 · (715) 514-9760

Phone(651) 439-4840

Sole ProprietorYes

Enumeration DateApril 15, 2019

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1427611524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 5601

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 12297-125 (WI)

1875 NORTHWESTERN AVE S, Stillwater, MN 55082

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Secondary Practice Locations 2

Location 11200 Hosford St Ste 201Hudson, WI 54016-9316 · Phone (651) 439-4840

Location 2280 Smith Ave N Ste 450Saint Paul, MN 55102-2481 · Phone (651) 241-5959

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Nicole Ulesich Lpc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

SHERITTA R PHILLIPS MS, LPCC

Counselor (Mental Health)