LAURA DEWHIRST (PSYD) – Mental Health Counselor, NPI 1649625294

LAURA DEWHIRST (PSYD) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. LP6777 (MN). The NPI Number for LAURA DEWHIRST (PSYD) is 1649625294

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LAURA DEWHIRST (PSYD)
NPI
1649625294
Phone
(763) 581-8240
Address
3300 Oakdale Ave N
Enumeration Date
2 May 2016
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789379700
Graduation Year
2020 (6 years ago)
PAC ID
9739566738
Group Practice PAC ID
6204807944
Professional Enrollment ID
I20240614000204
Address ID
MA018522103LO161XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for LAURA DEWHIRST (PSYD)

  • 3300 Oakdale Ave N

    Robbinsdale, MN 554222926

    Phone: (763) 581-8240

    Type: Location

  • Mary Lou Fendall Rose, 1411, Southwest Morrison Street, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97209-2120, United States

    SUITE 310

    PORTLAND, OR 972051945

    Phone: (503) 352-2400

    Type: Mailing

  • 161 JACKSON ST

    LOWELL, MA 018522103

    Phone: (978) 937-9700

    Fax: (978) 221-6728

    Type: Mailing

  • 3300 OAKDALE AVE N

    ROBBINSDALE, MN 554222926

    Phone: (763) 581-8240

    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: 2024-06-14

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
I20240614000204IClinical PsychologistMATBD

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
90853Group psychotherapy19434$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 6204807944View full group profile
NameSpecialtyState
O P T O M E T R YWA
Preventive Medicine, Addiction MedicineMA
Nurse PractitionerMA
Certified Nurse Midwife (Cnm)NY
Nurse PractitionerMA
Clinical Social WorkerMA
Certified Nurse Midwife (Cnm)MA
Nurse PractitionerMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What is the standard ID for LAURA DEWHIRST (PSYD) in the U.S.?
In the U.S., LAURA DEWHIRST (PSYD) is identified by NPI 1649625294.
Quick check: is LAURA DEWHIRST (PSYD) active?
Public NPPES data shows LAURA DEWHIRST (PSYD) with an active NPI status right now.
What does the directory say LAURA DEWHIRST (PSYD) does?
Insurance directories may phrase it differently, but here LAURA DEWHIRST (PSYD) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LAURA DEWHIRST (PSYD)?
LAURA DEWHIRST (PSYD) is associated with Robbinsdale, Minnesota in the same public data insurers reference.
Can I export LAURA DEWHIRST (PSYD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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