OPHELIA VANESSA ADDO LPCC
NPI 1609486349
Counselor - Mental Health in St Louis Park, MN

Active since August 07, 2020PECOS EnrolledAccepts Medicare Assignment
5354 PARKDALE DR, ST LOUIS PARK, MN 55416(888) 364-5977 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Aug 7, 2020 (2 updates tracked since 2020).

About Ophelia Vanessa Addo Lpcc NPPES

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

OPHELIA VANESSA ADDO LPCC (NPI 1609486349) is an individual mental health provider in St Louis Park, Minnesota, licensed in Minnesota (5255) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609486349
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOPHELIA VANESSA ADDOCredential: LPCC
Location Address5354 PARKDALE DRSt Louis Park, MN 55416-1603
Mailing Address1714 Bunker Lake Blvd Nw Ste 108Andover, MN 55304-4091 · (763) 415-7386
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 7, 2020
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1609486349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 5255
5354 PARKDALE DR, St Louis Park, MN 55416

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ophelia Vanessa Addo Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901392968
PECOS Enrollment IDI20251230001706
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.

Counselor (Professional)
5354 PARKDALE DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Counselor (Professional)
5354 PARKDALE DR, SUITE 200
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Dietitian, Registered
5354 PARKDALE DR
MINNEAPOLIS, MN 55416
Marriage & Family Therapist
5354 PARKDALE DR, SECOND FLOOR
MINNEAPOLIS, MN 55416

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 Ophelia Addo's NPI number?

The NPI number for Ophelia Addo is 1609486349. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Ophelia Addo located?

Ophelia Addo practices at 5354 Parkdale Dr, St Louis Park, MN 55416. The listed phone number is (888) 364-5977.

What is Ophelia Addo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ophelia Addo enrolled in Medicare?

Yes. Ophelia Addo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ophelia Addo was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.