KIMBERLY KAY SCHAEFBAUER (MED, LPCC) – Professional Counselor, NPI 1720535974

KIMBERLY KAY SCHAEFBAUER (MED, LPCC) is a healthcare provider. based in Little falls, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MED, LPCC. They hold a License No. CC01293 (MN). The NPI Number for KIMBERLY KAY SCHAEFBAUER (MED, LPCC) is 1720535974

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY KAY SCHAEFBAUER (MED, LPCC)
NPI
1720535974
Phone
(320) 632-6647
Address
1906 5TH AVE SE
Enumeration Date
6 September 2016
Last Update Date
6 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206326647
Graduation Year
1982 (44 years ago)
PAC ID
6800294315
Group Practice PAC ID
8628979697
Professional Enrollment ID
I20240610002330
Address ID
MN564013770BR823XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for KIMBERLY KAY SCHAEFBAUER (MED, LPCC)

  • 5th Avenue Southeast, Suburban Mobile Home Park, Little Falls, Morrison County, Minnesota, 56345, United States

    PO BOX 367

    LITTLE FALLS, MN 563453317

    Phone: (320) 632-6647

    Type: Mailing

  • 823, Maple Street, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 564013770

    Phone: (218) 829-3235

    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: 2024-06-10

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
I20240610002330IMental 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 56345)

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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: 8628979697View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Clinical Social WorkerMN
-MN
Clinical PsychologistMN
Undefined Non Physician Type (Specify)MN
Nurse PractitionerMN
Marriage And Family TherapistMN
-MN
Clinical Social WorkerMN
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does KIMBERLY KAY SCHAEFBAUER (MED, LPCC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY KAY SCHAEFBAUER (MED, LPCC) uses 1720535974.
Is KIMBERLY KAY SCHAEFBAUER (MED, LPCC) still practicing?
KIMBERLY KAY SCHAEFBAUER (MED, LPCC) is currently listed as active in the public NPI registry.
What is KIMBERLY KAY SCHAEFBAUER (MED, LPCC) best known for clinically?
Directory data describes KIMBERLY KAY SCHAEFBAUER (MED, LPCC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY KAY SCHAEFBAUER (MED, LPCC) on a map?
Expect Little Falls, Minnesota as a primary anchor for KIMBERLY KAY SCHAEFBAUER (MED, LPCC) unless the record lists multiple sites.
Why does KIMBERLY KAY SCHAEFBAUER (MED, LPCC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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