1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Counselor
  6. NPI Profile

NICOLE ELIZABETH DEWEESE MA, LPCC
NPI 1578034856
Counselor - Professional in Minneapolis, MN

Active since December 11, 2018PECOS Enrolled
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 861-1688(612) 861-6050 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, May 30, 2023, May 13, 2022 and 1 more (4 updates tracked since 2018).

About Nicole Elizabeth Deweese Ma, Lpcc NPPES

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

NICOLE ELIZABETH DEWEESE MA, LPCC (NPI 1578034856) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (CC02004) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578034856
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE ELIZABETH DEWEESECredential: MA, LPCC
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address3333 University Ave SeMinneapolis, MN 55414-3325 · (612) 861-1688 · Fax (612) 861-6050
Phone(612) 861-1688
Fax(612) 861-6050
Sole ProprietorNo
Enumeration DateDecember 11, 2018
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1578034856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02004
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CC02004 (MN)
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Elizabeth Doerrmann Ma, Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Elizabeth Deweese Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Deweese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fraser Child And Family Center
Same address
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LYDIA SHULL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MYSTIC MAKEPEACE
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 767-7222
FATIMA MUHUDIN ALI
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 475-9231
MICAH ALICIA HERNDON
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (201) 589-3367
CHLOE MARGO SARGENT
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MATTHEW LAUREN POWELL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
JAMONDA KELLY
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
ASHLEY LYNN WITT LPCC
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413

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 Nicole Deweese's NPI number?

The NPI number for Nicole Deweese is 1578034856. It was assigned to this individual provider in the NPPES registry on December 11, 2018. The provider is also known as Nicole Elizabeth Doerrmann Ma, Lpcc.

Where is Nicole Deweese located?

Nicole Deweese practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 861-1688.

What is Nicole Deweese's specialty?

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

Is Nicole Deweese enrolled in Medicare?

Yes. Nicole Deweese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Deweese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Deweese reassigns Medicare benefits to Fraser Child And Family Center (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Deweese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Deweese accept?

Health plans from HealthPartners list Nicole Deweese 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 Nicole Deweese was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.