BIANCA MATTER – Mental Health Counselor, NPI 1013716968

BIANCA MATTER is a healthcare provider. based in Edina, Minnesota. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for BIANCA MATTER is 1013716968

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
BIANCA MATTER
NPI
1013716968
Phone
(612) 268-5858
Address
7401 METRO BLVD STE 250
Enumeration Date
12 March 2025
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122685858
Graduation Year
2020 (6 years ago)
PAC ID
4385168756
Group Practice PAC ID
0749528552
Professional Enrollment ID
I20250407002656
Address ID
MN563031924SA3400XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for BIANCA MATTER

  • 7401 METRO BLVD STE 250

    EDINA, MN 554393062

    Phone: (612) 268-5858

    Type: Mailing

  • 7551 9TH ST N STE 100

    OAKDALE, MN 551286628

    Phone: (612) 268-5858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250407002656IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749528552View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I cross-check BIANCA MATTER using NPI 1013716968?
NPI 1013716968 belongs to BIANCA MATTER; compare other details if you need extra assurance.
Active or inactive — what applies to BIANCA MATTER?
You should see BIANCA MATTER as active in CMS-hosted NPPES data.
What clinical focus is listed for BIANCA MATTER?
At a glance, BIANCA MATTER is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Minnesota is BIANCA MATTER registered?
Use Edina, Minnesota as the headline location for BIANCA MATTER here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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