MS. SHIREEN JUNE GHANATABADI (MA, LPCC) – Professional Counselor, NPI 1952809899
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,813 MENTAL HEALTH COUNSELOR in MN
Provider Addresses for MS. SHIREEN JUNE GHANATABADI (MA, LPCC)
4969 Olson Memorial Hwy
Golden Valley, MN 55422
Phone: (763) 575-8086
Type: Location
14115 James Rd
Rogers, MN 553749468
Phone: (763) 575-8086
Fax: (320) 774-0415
Type: Location
Lyndale Avenue South, Lyndale, Minneapolis, Hennepin County, Minnesota, 55419, United States
MINNEAPOLIS, MN 554084159
Phone: (612) 638-8838
Type: Mailing
James Road, Rogers, Hennepin County, Minnesota, 55374, United States
ROGERS, MN 553749468
Phone: (763) 575-8086
Fax: (320) 774-0415
Type: Location
2551 MADISON ST NE
MINNEAPOLIS, MN 554182844
Phone: (612) 638-8838
Type: Mailing
2546 JOHNSON ST NE
MINNEAPOLIS, MN 554183941
Phone: (612) 444-1655
Fax: (612) 446-5787
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: 2024-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240506003652 | I | Mental Health Counselor | MN | TBD |
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.
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 55422)
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