LAWRENCE LOWELL SEDLACEK (MA, LPCC) – Professional Counselor, NPI 1093288987

LAWRENCE LOWELL SEDLACEK (MA, LPCC) is a healthcare provider. based in Saint paul, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC. They hold a License No. CC03838 (MN). The NPI Number for LAWRENCE LOWELL SEDLACEK (MA, LPCC) is 1093288987

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE LOWELL SEDLACEK (MA, LPCC)
NPI
1093288987
Phone
(612) 454-2447
Address
1821 UNIVERSITY AVE W STE N385
Enumeration Date
3 January 2019
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517696400
Graduation Year
2018 (8 years ago)
PAC ID
6204279433
Group Practice PAC ID
3274504816
Professional Enrollment ID
I20240205003091
Address ID
MN551092946NO2497XEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for LAWRENCE LOWELL SEDLACEK (MA, LPCC)

  • University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SAINT PAUL, MN 551042872

    Phone: (612) 454-2447

    Fax: (651) 647-9147

    Type: Mailing

  • 2497 7TH AVENUE E.

    STE 101

    NORTH ST. PAUL, MN 551092946

    Phone: (651) 769-6437

    Fax: (651) 769-6599

    Type: Mailing

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: 2024-02-05

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
I20240205003091IMental 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 55104)

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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: 3274504816View full group profile
NameSpecialtyState
-MN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Physician AssistantAZ
P S Y C H I A T R YMN
Clinical Social WorkerMN
Nurse PractitionerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What NPI should I save for LAWRENCE LOWELL SEDLACEK (MA, LPCC)?
Save NPI 1093288987 if you need a stable reference for LAWRENCE LOWELL SEDLACEK (MA, LPCC).
Does this profile mean LAWRENCE LOWELL SEDLACEK (MA, LPCC) is currently active?
Yes — LAWRENCE LOWELL SEDLACEK (MA, LPCC) appears active in the national provider directory.
What kind of provider is LAWRENCE LOWELL SEDLACEK (MA, LPCC)?
The page reflects Professional Counselor for LAWRENCE LOWELL SEDLACEK (MA, LPCC). Clinical services aligned with this taxonomy classification.
Where does public data place LAWRENCE LOWELL SEDLACEK (MA, LPCC)?
The snapshot lists Saint Paul, Minnesota for LAWRENCE LOWELL SEDLACEK (MA, LPCC); download NPPES for the complete set.
Is LAWRENCE LOWELL SEDLACEK (MA, LPCC) a real provider?
This page reflects official NPPES data for NPI 1093288987. Always confirm identity and privileges with the practice and licensing boards.

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