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MARY E JUSTIN LPCC
NPI 1457193708
Counselor - Professional in Lakeville, MN

Active since June 08, 2024PECOS EnrolledAccepts Medicare Assignment
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044(952) 214-8959(952) 214-8960 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2026, Jun 8, 2024 (2 updates tracked since 2024).

About Mary E Justin Lpcc NPPES

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

MARY E JUSTIN LPCC (NPI 1457193708) is an individual professional provider in Lakeville, Minnesota, licensed in (5478) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457193708
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY E JUSTINCredential: LPCC
Location Address17685 JUNIPER PATH STE 303Lakeville, MN 55044-9821
Mailing Address364 Upper Wood WayBurnsville, MN 55337-5730 · (320) 290-0739
Phone(952) 214-8959
Fax(952) 214-8960
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2024
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1457193708 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 · 5478
17685 JUNIPER PATH STE 303, Lakeville, MN 55044
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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

Mary E Justin 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 ID5991280430
PECOS Enrollment IDI20260401002794
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL LEANNE GARDNER LADC
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MS. FADUMA MOHAMED LGSW
Social Worker (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
SARAH KRISTINE MECKLEY
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MRS. TRACY LORETTA GROCHOW M.A
Counselor (Mental Health)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
DOMINIQUE JACKSON
Marriage & Family Therapist
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
DONALD HANDLANG MS, MDIV
Psychologist (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MICHAEL CLIFTON KERSTETTER MA
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
LORI ANNE KLEIN LMFT
Marriage & Family Therapist
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959

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 Mary Justin's NPI number?

The NPI number for Mary Justin is 1457193708. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Mary Justin located?

Mary Justin practices at 17685 Juniper Path Ste 303, Lakeville, MN 55044. The listed phone number is (952) 214-8959.

What is Mary Justin's specialty?

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

Is Mary Justin enrolled in Medicare?

Yes. Mary Justin 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.

When was this NPI record last updated?

The NPPES record for Mary Justin was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.