INTROSPECT MENTAL HEALTH LLC – Mental Health Counselor, NPI 1184273666
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for INTROSPECT MENTAL HEALTH LLC
22130 TYPO CREEK DR NE
WYOMING, MN 550924602
Phone: (651) 271-8970
Type: Mailing
Village Parkway, Circle Pines, Anoka County, Minnesota, 55014, United States
CIRCLE PINES, MN 550145008
Phone: (612) 424-1574
Type: Location
301 Village Pkwy
Circle Pines, MN 550145008
Phone: (763) 465-6700
Type: Location
144 2nd Ave SE
Cambridge, MN 550081601
Phone: (763) 465-6700
Type: Location
4801 Highway 61 N Ste 204
White Bear Lk, MN 551102752
Phone: (763) 465-6700
Type: Location
4801 HIGHWAY 61 N STE 204
WHITE BEAR LK, MN 551102752
Phone: (763) 465-6700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2021-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (50 days away).
Enrollment records
1
Earliest due date
2026-07-31
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 |
|---|---|---|---|---|
| O20210730002128 | O | Clinic/Group Practice | MN | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 55092)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.