PETER LYLE NOTEBOOM LICSW
NPI 1952996894
Social Worker - Clinical in Minneapolis, MN

Q: What is Peter Noteboom's NPI number?

The NPI number for Peter Noteboom is 1952996894. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Q: What is Peter Noteboom's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Peter Noteboom was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 03, 2021PECOS EnrolledAccepts Medicare Assignment

1313 PENN AVE N, MINNEAPOLIS, MN 55411(612) 543-2500 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2021, Mar 9, 2021, Mar 3, 2021 (3 updates tracked since 2021).

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About Peter Lyle Noteboom Licsw NPPES

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

PETER LYLE NOTEBOOM LICSW (NPI 1952996894) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (27334) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952996894

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NamePETER LYLE NOTEBOOMCredential: LICSW

Location Address1313 PENN AVE NMinneapolis, MN 55411-3047

Mailing Address4235 Tyler St NeColumbia Heights, MN 55421-3242 · (612) 741-3762

Phone(612) 543-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 3, 2021

Last NPPES UpdateNovember 17, 20213 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1952996894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 27334

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1313 PENN AVE N, Minneapolis, MN 55411

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Lyle Noteboom Licsw 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 ID9830505106

PECOS Enrollment IDI20210311000112

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JOSHUA SABIN PSYD, LP

Psychologist (Clinical)