JUDY MARIE LAVONE (M.A., LPCC) – Mental Health Counselor, NPI 1710310438

JUDY MARIE LAVONE (M.A., LPCC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A., LPCC. They hold a License No. 628 (MN). The NPI Number for JUDY MARIE LAVONE (M.A., LPCC) is 1710310438

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
JUDY MARIE LAVONE (M.A., LPCC)
NPI
1710310438
Phone
(612) 925-6033
Address
3100 W LAKE ST
Enumeration Date
16 August 2013
Last Update Date
16 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6513739440
Graduation Year
2008 (18 years ago)
PAC ID
5799137675
Group Practice PAC ID
0749624211
Professional Enrollment ID
I20240426002964
Address ID
MN551245529AP7600XWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for JUDY MARIE LAVONE (M.A., LPCC)

  • 3100 W LAKE ST

    SUITE 210

    MINNEAPOLIS, MN 554164527

    Phone: (612) 925-6033

    Fax: (612) 925-8496

    Mailing address matches the actual address.

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: 2024-04-26

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
I20240426002964IMental 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 55416)

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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: 0749624211View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Can I verify JUDY MARIE LAVONE (M.A., LPCC) with an NPI only?
You can start verification with NPI 1710310438 for JUDY MARIE LAVONE (M.A., LPCC), then check state licensing separately.
Is JUDY MARIE LAVONE (M.A., LPCC) still practicing?
JUDY MARIE LAVONE (M.A., LPCC) is currently listed as active in the public NPI registry.
What is JUDY MARIE LAVONE (M.A., LPCC)'s specialty?
The listing groups JUDY MARIE LAVONE (M.A., LPCC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is JUDY MARIE LAVONE (M.A., LPCC) based?
JUDY MARIE LAVONE (M.A., LPCC) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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