AMBER NICOLE EGDORF MA, LADC, LPCC
NPI 1780120378
Counselor - Professional in Saint Paul, MN

Active since January 06, 2017PECOS EnrolledAccepts Medicare Assignment
245 RUTH ST N STE 101, SAINT PAUL, MN 55119(651) 955-4633 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2024, Oct 9, 2018, Jan 6, 2017 (3 updates tracked since 2017).

About Amber Nicole Egdorf Ma, Ladc, Lpcc NPPES

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

AMBER NICOLE EGDORF MA, LADC, LPCC (NPI 1780120378) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (4285) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780120378
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMBER NICOLE EGDORFCredential: MA, LADC, LPCC
Location Address245 RUTH ST N STE 101Saint Paul, MN 55119-4409
Mailing Address245 Ruth St N Ste 101Saint Paul, MN 55119-4409 · (651) 955-4633
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 6, 2017
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1780120378 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 · 4285
245 RUTH ST N STE 101, Saint Paul, MN 55119

Other Names 1

Former Name (1)Amber Nicole Recker

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Nicole Egdorf Ma, Ladc, 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 ID7416473517
PECOS Enrollment IDI20250501002275
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 Amber Egdorf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marriage & Family Therapist
2180 4TH ST
White Bear Lake, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 7 clinicians in this Medicare group
Mental Health
15600 WAYZATA BLVD STE 209
Wayzata, MN 55391
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group

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

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 Amber Egdorf's NPI number?

The NPI number for Amber Egdorf is 1780120378. It was assigned to this individual provider in the NPPES registry on January 6, 2017. The provider is also known as Amber Nicole Recker.

Where is Amber Egdorf located?

Amber Egdorf practices at 245 Ruth St N Ste 101, Saint Paul, MN 55119. The listed phone number is (651) 955-4633.

What is Amber Egdorf's specialty?

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

Is Amber Egdorf enrolled in Medicare?

Yes. Amber Egdorf 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.

Which organizations bill Medicare for Amber Egdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Egdorf reassigns Medicare benefits to 2 organizations: Resourced And Resilient LLC (White Bear Lake, MN) and Wholehearted Healing LLC (Wayzata, 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 Amber Egdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Egdorf accept?

Health plans from HealthPartners list Amber Egdorf 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 Amber Egdorf was last updated on February 5, 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.