ANDREA MARIE YEAGER (MPS, LPCC, LADC) – Professional Counselor, NPI 1205463668

ANDREA MARIE YEAGER (MPS, LPCC, LADC) is a healthcare provider. based in Crystal, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MPS, LPCC, LADC. They hold a License No. 305342 (MN). The NPI Number for ANDREA MARIE YEAGER (MPS, LPCC, LADC) is 1205463668

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA MARIE YEAGER (MPS, LPCC, LADC)
NPI
1205463668
Phone
(763) 541-4993
Address
2960 WINNETKA AVE N STE 101
Enumeration Date
25 March 2020
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514500860
Graduation Year
2018 (8 years ago)
PAC ID
6507219383
Group Practice PAC ID
0749171320
Professional Enrollment ID
I20240129000983
Address ID
MN551183238WE149XXEXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for ANDREA MARIE YEAGER (MPS, LPCC, LADC)

  • 2960 WINNETKA AVE N STE 101

    CRYSTAL, MN 554272865

    Phone: (763) 541-4993

    Fax: (763) 541-5324

    Type: Mailing

  • 4240 PARK GLEN RD

    ST LOUIS PARK, MN 554165427

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    Type: Mailing

  • 149 THOMPSON AVE E STE 150

    WEST ST PAUL, MN 551183238

    Phone: (651) 450-0860

    Fax: (651) 450-0759

    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: 2024-01-29

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
I20240129000983IMental 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 55427)

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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: 0749171320View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREA MARIE YEAGER (MPS, LPCC, LADC)?
ANDREA MARIE YEAGER (MPS, LPCC, LADC) — NPI 1205463668 — is the standard way to identify this listing.
Is ANDREA MARIE YEAGER (MPS, LPCC, LADC) listed as active for patients and plans?
The listing shows ANDREA MARIE YEAGER (MPS, LPCC, LADC) as active in the NPI system.
What is ANDREA MARIE YEAGER (MPS, LPCC, LADC)'s specialty?
The listing groups ANDREA MARIE YEAGER (MPS, LPCC, LADC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is ANDREA MARIE YEAGER (MPS, LPCC, LADC) based?
ANDREA MARIE YEAGER (MPS, LPCC, LADC) is tied to Crystal, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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