NICOLE NIEDFELDT LPCC
NPI 1982132205
Counselor - Mental Health in Apple Valley, MN

Active since May 31, 2017PECOS Enrolled
15322 GALAXIE AVE STE 204, APPLE VALLEY, MN 55124(952) 222-8193(888) 823-8367 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2025, Mar 10, 2025, Mar 1, 2023 and 4 more (7 updates tracked since 2017).

About Nicole Niedfeldt Lpcc NPPES

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

NICOLE NIEDFELDT LPCC (NPI 1982132205) is an individual mental health provider in Apple Valley, Minnesota, licensed in Minnesota (1541) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Prior Lake, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982132205
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE NIEDFELDTCredential: LPCC
Location Address15322 GALAXIE AVE STE 204Apple Valley, MN 55124-3150
Mailing Address15322 Galaxie Ave Ste 204Apple Valley, MN 55124-3150 · (952) 222-8193 · Fax (888) 823-8367
Fax(888) 823-8367
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 31, 2017
Last NPPES UpdateJune 25, 20257 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1982132205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 1541
15322 GALAXIE AVE STE 204, Apple Valley, MN 55124

Secondary Practice Location 1

Location 15366 Centennial St SEPrior Lake, MN 55372-2001 · Phone (612) 237-1740

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Niedfeldt Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082050877
PECOS Enrollment IDI20240315000409
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 Reassignment

Medicare enrollment records show Nicole Niedfeldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
15322 GALAXIE AVE STE 204
Apple Valley, MN 55124
  • 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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
15322 GALAXIE AVE STE 204
APPLE VALLEY, MN 55124

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 Niedfeldt's NPI number?

The NPI number for Nicole Niedfeldt is 1982132205. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Nicole Niedfeldt located?

Nicole Niedfeldt practices at 15322 Galaxie Ave Ste 204, Apple Valley, MN 55124. The listed phone number is (952) 222-8193.

What is Nicole Niedfeldt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Niedfeldt enrolled in Medicare?

Yes. Nicole Niedfeldt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Niedfeldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Niedfeldt reassigns Medicare benefits to Awakened Path Counseling (Apple Valley, 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 Nicole Niedfeldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Niedfeldt accept?

Health plans from HealthPartners list Nicole Niedfeldt 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 Nicole Niedfeldt was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.