ANDREA R SCHROEDER LPCC
NPI 1487108858
Counselor - Professional in Saint Paul, MN

Active since August 15, 2016Opted out of Medicare · through Jan 1, 2028
670 CLEVELAND AVE S, SAINT PAUL, MN 55116(763) 913-8261 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2020, Aug 16, 2016 (2 updates tracked since 2016).

About Andrea R Schroeder Lpcc NPPES

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

ANDREA R SCHROEDER LPCC (NPI 1487108858) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (02513) and active in the NPI registry since August 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1487108858
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA R SCHROEDERCredential: LPCC
Location Address670 CLEVELAND AVE SSaint Paul, MN 55116-1218
Mailing Address670 Cleveland Ave SSaint Paul, MN 55116-1218
Sole ProprietorYes
Enumeration DateAugust 15, 2016
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1487108858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MN · 02513 Licensed in WI · 6902-125
670 CLEVELAND AVE S, Saint Paul, MN 55116

Other Names 1

Former Name (1)Andrea S Ruder Lpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Andrea R Schroeder Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Social Worker
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Clinical Neuropsychologist
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Social Worker (Clinical)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Counselor
670 CLEVELAND AVE S, SENTIER PSYCHOTHERAPY
ST. PAUL, MN 55116
Social Worker (Clinical)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Dentist (General Practice)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Clinic/Center (Mental Health (Including Community Mental Health Center))
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Marriage & Family Therapist
670 CLEVELAND AVE S
SAINT PAUL, MN 55116

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 Andrea Schroeder's NPI number?

The NPI number for Andrea Schroeder is 1487108858. It was assigned to this individual provider in the NPPES registry on August 15, 2016. The provider is also known as Andrea S Ruder Lpc.

Where is Andrea Schroeder located?

Andrea Schroeder practices at 670 Cleveland Ave S, Saint Paul, MN 55116. The listed phone number is (763) 913-8261.

What is Andrea Schroeder's specialty?

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

Is Andrea Schroeder enrolled in Medicare?

No. Andrea Schroeder has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Schroeder was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.