MARY SOUDER
NPI 1831587062
Counselor - Professional in Minneapolis, MN

Active since December 22, 2014PECOS EnrolledAccepts Medicare Assignment
3950 LYNDALE AVE S STE 2, MINNEAPOLIS, MN 55409(612) 234-1807 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Souder NPPES

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

MARY SOUDER (NPI 1831587062) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (00868) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1831587062
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY SOUDER
Location Address3950 LYNDALE AVE S STE 2Minneapolis, MN 55409-1465
Mailing Address3950 Lyndale Ave S Ste 2Minneapolis, MN 55409-1465 · (612) 234-1807
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 22, 2014
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
NPI 1831587062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MN · 00868 Licensed in MN · 868
3950 LYNDALE AVE S STE 2, Minneapolis, MN 55409

Accepted Insurance

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

Mary Souder 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 ID3274978424
PECOS Enrollment IDI20240228001681
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3950 LYNDALE AVE S STE 2
MINNEAPOLIS, MN 55409
Clinic/Center (Adult Mental Health)
3950 LYNDALE AVE S STE 2
MINNEAPOLIS, MN 55409
Social Worker (Clinical)
3950 LYNDALE AVE S STE 2
MINNEAPOLIS, MN 55409

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 Mary Souder's NPI number?

The NPI number for Mary Souder is 1831587062. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Where is Mary Souder located?

Mary Souder practices at 3950 Lyndale Ave S Ste 2, Minneapolis, MN 55409. The listed phone number is (612) 234-1807.

What is Mary Souder's specialty?

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

Is Mary Souder enrolled in Medicare?

Yes. Mary Souder 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.

What insurance does Mary Souder accept?

Health plans from HealthPartners list Mary Souder 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 Mary Souder was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.