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

Q: 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.

Q: What is Nicole Deweese's specialty?

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

Q: 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 18 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.

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: August 23, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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