AMELIA MARIE GANYO (M.A.) – Professional Counselor, NPI 1508219668

AMELIA MARIE GANYO (M.A.) is a healthcare provider. based in Crookston, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. They hold a License No. CC02321 (MN). The NPI Number for AMELIA MARIE GANYO (M.A.) is 1508219668

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
AMELIA MARIE GANYO (M.A.)
NPI
1508219668
Phone
(218) 280-2847
Address
PO BOX 603
Enumeration Date
13 July 2016
Last Update Date
18 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182813940
Graduation Year
2016 (10 years ago)
PAC ID
3577913953
Group Practice PAC ID
6709787609
Professional Enrollment ID
I20231227002009
Address ID
MN567162914CR603XXSTXX300
Telehealth
Yes

Contacts

Main Contact
credibleBH.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for AMELIA MARIE GANYO (M.A.)

  • PO BOX 603

    CROOKSTON, MN 567160603

    Phone: (218) 280-2847

    Type: Mailing

  • 603, Bruce Street, Crookston, Polk County, Minnesota, 56716, United States

    CROOKSTON, MN 567162914

    Phone: (218) 281-3940

    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: 2023-12-27

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
I20231227002009IMental 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 56716)

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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: 6709787609View full group profile
NameSpecialtyState
Addiction MedicineFL
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerKY
Mental Health CounselorMN
Nurse PractitionerND
Mental Health CounselorMN
Psychiatry, NeurologyMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What unique ID ties claims to AMELIA MARIE GANYO (M.A.)?
NPI 1508219668 is assigned to AMELIA MARIE GANYO (M.A.) under the national enumeration system.
Is AMELIA MARIE GANYO (M.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does AMELIA MARIE GANYO (M.A.) treat or focus on?
Patients typically see AMELIA MARIE GANYO (M.A.) under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for AMELIA MARIE GANYO (M.A.)?
We surface Crookston, Minnesota for AMELIA MARIE GANYO (M.A.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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