PAUL MICHAEL NOVOTNY (MA, LPCC) – Mental Health Counselor, NPI 1609102870

PAUL MICHAEL NOVOTNY (MA, LPCC) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials MA, LPCC. They hold a License No. CC00065 (MN). The NPI Number for PAUL MICHAEL NOVOTNY (MA, LPCC) is 1609102870

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
PAUL MICHAEL NOVOTNY (MA, LPCC)
NPI
1609102870
Phone
(651) 636-8677
Address
1919 UNIVERSITY AVE W STE 6
Enumeration Date
23 October 2009
Last Update Date
23 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516411555
Graduation Year
2012 (14 years ago)
PAC ID
5092030148
Group Practice PAC ID
0941669576
Professional Enrollment ID
I20150807014567
Address ID
MN551043453ST1919XWXXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for PAUL MICHAEL NOVOTNY (MA, LPCC)

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

    SAINT PAUL, MN 551043453

    Phone: (651) 636-8677

    Type: Location

  • 319, Davern Street South, Macalester - Groveland, Saint Paul, Ramsey County, Minnesota, 55105, United States

    ST. PAUL, MN 55116

    Phone: (612) 710-9297

    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: 2015-08-07

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
I20150807014567IClinical PsychologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour54925$0
90785Psychiatric services complicated by communication factor29718$0
90832Psychotherapy, 30 minutes8514$0
90791Psychiatric diagnostic evaluation3634$0
View full utilization report →

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: 0941669576View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What identifier follows PAUL MICHAEL NOVOTNY (MA, LPCC) across health systems?
The NPI 1609102870 uniquely identifies PAUL MICHAEL NOVOTNY (MA, LPCC) in U.S. healthcare data.
Is PAUL MICHAEL NOVOTNY (MA, LPCC)'s NPI status active today?
Active status means PAUL MICHAEL NOVOTNY (MA, LPCC)'s NPI record is not deactivated in the public file.
How should patients interpret PAUL MICHAEL NOVOTNY (MA, LPCC)'s specialty?
The extract shows Mental Health Counselor for PAUL MICHAEL NOVOTNY (MA, LPCC). Clinical services aligned with this taxonomy classification.
Is PAUL MICHAEL NOVOTNY (MA, LPCC) tied to Saint Paul, Minnesota?
If you are local to Saint Paul, Minnesota, PAUL MICHAEL NOVOTNY (MA, LPCC) may be relevant to your search.
Can I export PAUL MICHAEL NOVOTNY (MA, LPCC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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