MAX AVERY (MA, LPCC, LADC) – Mental Health Counselor, NPI 1649823816
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MAX AVERY (MA, LPCC, LADC)
1045 HIAWATHA AVE APT 118
HOPKINS, MN 553438141
Phone: (763) 267-9090
Type: Mailing
Main Street, Somerwood Cottages, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553871023
Phone: (763) 267-9090
Type: Location
904 MAINSTREET STE 200
HOPKINS, MN 553437589
Phone: (866) 522-2472
Fax: (763) 717-8049
Type: Mailing
4401 PARK GLEN RD APT 308
ST LOUIS PARK, MN 554164768
Phone: (612) 270-4764
Type: Mailing
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 554164688
Phone: (612) 520-1814
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: 2024-01-04
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 |
|---|---|---|---|---|
| I20240104001861 | 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 55343)
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