MRS. AMY-ANN MAYBERG M.A.
NPI 1508252727
Counselor in Edina, MN

Active since April 14, 2015Opted out of Medicare · through Feb 5, 2028
4501 LAKEVIEW DR, EDINA, MN 55424(952) 926-1444 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Amy-ann Mayberg M.a. NPPES

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

MRS. AMY-ANN MAYBERG M.A. (NPI 1508252727) is an individual counselor in Edina, Minnesota and active in the NPI registry since April 2015. She has opted out of Medicare through February 5, 2028.

NPPES Registry Identity

NPI1508252727
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. AMY-ANN MAYBERGCredential: M.A.
Location Address4501 LAKEVIEW DREdina, MN 55424-1517
Mailing Address4501 Lakeview DrEdina, MN 55424-1517 · (952) 926-1444
Sole ProprietorYes
Enumeration DateApril 14, 2015
NPI 1508252727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
4501 LAKEVIEW DR, Edina, MN 55424

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Amy-ann Mayberg M.a. 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 February 5, 2024 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2024
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amy-ann Mayberg's NPI number?

The NPI number for Amy-ann Mayberg is 1508252727. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Amy-ann Mayberg located?

Amy-ann Mayberg practices at 4501 Lakeview Dr, Edina, MN 55424. The listed phone number is (952) 926-1444.

What is Amy-ann Mayberg's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Amy-ann Mayberg enrolled in Medicare?

No. Amy-ann Mayberg has opted out of Medicare through February 5, 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 Amy-ann Mayberg was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.