BRITTNI AMANDA INGVALDSON
NPI 1922772383
Counselor - Professional in Lakeville, MN
About Brittni Amanda Ingvaldson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRITTNI AMANDA INGVALDSON (NPI 1922772383) is an individual professional provider in Lakeville, Minnesota, licensed in Minnesota (04654) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brittni Amanda Ingvaldson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brittni Ingvaldson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eden Prairie, MN 55344
- Reassigned Medicare billing, Minnesota enrollment
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKEVILLE, MN 55044
LAKEVILLE, MN 55044
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 Brittni Ingvaldson's NPI number?
The NPI number for Brittni Ingvaldson is 1922772383. It was assigned to this individual provider in the NPPES registry on August 8, 2021.
Where is Brittni Ingvaldson located?
Brittni Ingvaldson practices at 17645 Juniper Path Ste 105, Lakeville, MN 55044. The listed phone number is (952) 600-8191.
What is Brittni Ingvaldson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brittni Ingvaldson enrolled in Medicare?
Yes. Brittni Ingvaldson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brittni Ingvaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brittni Ingvaldson reassigns Medicare benefits to Soulfully Rewritten Therapy (Eden Prairie, MN). The 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 Brittni Ingvaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brittni Ingvaldson was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Brittni Amanda Ingvaldson · NPI 1922772383
Professional provider in Lakeville, Minnesota. Individual provider, active in the CMS NPPES registry since August 8, 2021.
## Identity
- **NPI:** 1922772383 (Entity type: Individual)
- **Enumerated:** August 8, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 04654 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17645 JUNIPER PATH STE 105, Lakeville, MN 55044-7491
- **Phone:** (952) 600-8191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Soulfully Rewritten Therapy (NPI 1699570713, Eden Prairie, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922772383) · Data from the CMS NPPES public registry.