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NICOLE MARIE-ANGE OVERBY LMFT, LADC
NPI 1689184079
Marriage & Family Therapist in Rogers, MN

Active since October 11, 2017PECOS EnrolledAccepts Medicare Assignment
14040 NORTHDALE BLVD STE 100, ROGERS, MN 55374(763) 488-4100(763) 488-4105 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2019, Jul 13, 2019, Oct 11, 2017 (3 updates tracked since 2017).

About Nicole Marie-ange Overby Lmft, Ladc NPPES

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

NICOLE MARIE-ANGE OVERBY LMFT, LADC (NPI 1689184079) is an individual marriage & family therapist in Rogers, Minnesota, licensed in Minnesota (3404) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn Park, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689184079
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE MARIE-ANGE OVERBYCredential: LMFT, LADC
Location Address14040 NORTHDALE BLVD STE 100Rogers, MN 55374-9612
Mailing Address1160 Lake St NBig Lake, MN 55309-9499 · (320) 282-3528
Phone(763) 488-4100
Fax(763) 488-4105
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 11, 2017
Last NPPES UpdateAugust 8, 20193 updates tracked since enumeration
✔ NPI 1689184079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 3404
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304650 (MN)
14040 NORTHDALE BLVD STE 100, Rogers, MN 55374
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Secondary Practice Location 1

Location 12807 Brookdale DrBrooklyn Park, MN 55444-1844 · Phone (651) 348-5652 · Fax (763) 503-4820

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

Nicole Marie-ange Overby Lmft, Ladc 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 ID749630168
PECOS Enrollment IDI20231228000321
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.

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 Overby's NPI number?

The NPI number for Nicole Overby is 1689184079. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Nicole Overby located?

Nicole Overby practices at 14040 Northdale Blvd Ste 100, Rogers, MN 55374. The listed phone number is (763) 488-4100.

What is Nicole Overby's specialty?

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

Is Nicole Overby enrolled in Medicare?

Yes. Nicole Overby 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 Nicole Overby was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.