CAROLYN OUELLETTE LPCC
NPI 1528729324
Marriage & Family Therapist in Plymouth, MN

Q: What is Carolyn Ouellette's NPI number?

The NPI number for Carolyn Ouellette is 1528729324. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Q: What is Carolyn Ouellette's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Carolyn Ouellette enrolled in Medicare?

No. Carolyn Ouellette 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.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Ouellette was last updated on January 4, 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.

Active since January 04, 2022Opted out of Medicare · through Jan 1, 2028

9800 SHELARD PKWY STE 115, PLYMOUTH, MN 55441(612) 875-6416 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carolyn Ouellette Lpcc NPPES

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

CAROLYN OUELLETTE LPCC (NPI 1528729324) is an individual marriage & family therapist in Plymouth, Minnesota, licensed in Minnesota (2837) and active in the NPI registry since January 2022. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1528729324

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCAROLYN OUELLETTECredential: LPCC

Location Address9800 SHELARD PKWY STE 115Plymouth, MN 55441-6411

Mailing Address6240 60th StPrinceton, MN 55371-6402 · (763) 248-1458

Phone(612) 875-6416

Sole ProprietorNo

Enumeration DateJanuary 4, 2022

NPPES CertifiedJanuary 4, 2022

✔ NPI 1528729324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 2837

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

9800 SHELARD PKWY STE 115, Plymouth, MN 55441

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn Ouellette 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.

KAYLIE BROBERG

Marriage & Family Therapist