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TAYLOR WALDVOGEL MA, LPCC
NPI 1609657162
Counselor - Professional in Woodbury, MN

Active since October 11, 2023PECOS Enrolled
2040 WOODWINDS DR, WOODBURY, MN 55125(651) 259-9750 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Taylor Waldvogel Ma, Lpcc NPPES

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

TAYLOR WALDVOGEL MA, LPCC (NPI 1609657162) is an individual professional provider in Woodbury, Minnesota, licensed in Minnesota (CC04281) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609657162
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAYLOR WALDVOGELCredential: MA, LPCC
Location Address2040 WOODWINDS DRWoodbury, MN 55125-2522
Mailing Address2040 Woodwinds DrWoodbury, MN 55125-2522 · (651) 259-9750
Phone(651) 259-9750
Sole ProprietorNo
Enumeration DateOctober 11, 2023
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1609657162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC04281
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305861 (MN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2040 WOODWINDS DR, Woodbury, MN 55125
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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)

Taylor Waldvogel 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 Reassignments

2

Medicare enrollment records show Taylor Waldvogel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aris Clinic PA
Same address
Psychiatry
2040 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group
NPI 1609978063 (651) 259-9750
Mandy Wannarka, Licsw Inc
21 mi
Clinical
199 COON RAPIDS BLVD NW STE 208
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1861038515 (612) 440-1899

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.

LAURIE GEDDES MS, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
ERIK KERSTEN LPCC
Counselor (Professional)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
SHALENE ANN KENNEDY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
TAMARA TEW APRN, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
ARIS BEHAVIORAL HEALTH LLC
Clinic/Center (Adolescent and Children Mental Health)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
MICHELLE ROWLAND DNP, CPNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
GRACE SPENCER DNP, MSN, RN
Nurse Practitioner (Psychiatric/Mental Health)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 259-9750
EMILEE ANNE THOMPSON
Social Worker (Clinical)
2040 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 412-8911

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 Taylor Waldvogel's NPI number?

The NPI number for Taylor Waldvogel is 1609657162. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Where is Taylor Waldvogel located?

Taylor Waldvogel practices at 2040 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 259-9750.

What is Taylor Waldvogel's specialty?

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

Is Taylor Waldvogel enrolled in Medicare?

Yes. Taylor Waldvogel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Taylor Waldvogel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Waldvogel reassigns Medicare benefits to 2 organizations: Aris Clinic PA (Woodbury, MN) and Mandy Wannarka, Licsw Inc (Coon Rapids, MN). Each 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 Taylor Waldvogel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Waldvogel accept?

Health plans from HealthPartners list Taylor Waldvogel 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 Taylor Waldvogel was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.