ETHEN D SIETSEMA LPCC
NPI 1427719467
Counselor - Professional in Minneapolis, MN

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407(866) 603-0016 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 18, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Ethen D Sietsema Lpcc NPPES

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

ETHEN D SIETSEMA LPCC (NPI 1427719467) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (3110) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427719467
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameETHEN D SIETSEMACredential: LPCC
Location Address2925 CHICAGO AVEMinneapolis, MN 55407-1321
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 3, 2022
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1427719467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 3110
2925 CHICAGO AVE, Minneapolis, MN 55407

Accepted 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

Ethen D Sietsema Lpcc 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 ID7911350996
PECOS Enrollment IDI20240125003118
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.

Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Family Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Nurse Practitioner (Acute Care)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Nurse Practitioner (Primary Care)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Counselor (Professional)
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407
Internal Medicine
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407

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 Ethen Sietsema's NPI number?

The NPI number for Ethen Sietsema is 1427719467. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Ethen Sietsema located?

Ethen Sietsema practices at 2925 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (866) 603-0016.

What is Ethen Sietsema's specialty?

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

Is Ethen Sietsema enrolled in Medicare?

Yes. Ethen Sietsema 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 Ethen Sietsema accept?

Health plans from HealthPartners list Ethen Sietsema 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 Ethen Sietsema was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.