Amanda Nusbaum, LPCC in Blaine, MN - Medicare Counselor Provider

Amanda Nusbaum, LPCC is a medicare enrolled "Counselor - Professional" provider in Blaine, Minnesota. Her current practice location is 9298 Central Ave Ne Ste 310, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 955-4633.

Amanda Nusbaum is licensed to practice in Minnesota (license number CC02768) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679168876.

Contact Information

	Amanda Nusbaum, LPCC
	9298 Central Ave Ne Ste 310, Blaine, MN 55434-4219
	(651) 955-4633
	(651) 440-9827

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Nusbaum
Gender	Female
Speciality	Counselor - Professional
Location	9298 Central Ave Ne Ste 310, Blaine, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679168876
Provider Enumeration Date: 03/09/2021
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 3072052281
Enrollment ID: I20240830002065

Medical Identifiers

Medical identifiers for Amanda Nusbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679168876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC02768 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Nusbaum allows following entities to bill medicare on her behalf.

Entity Name	Omni Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891110177 PECOS PAC ID: 1557804390 Enrollment ID: O20240620003130

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nusbaum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Nusbaum, LPCC 245 Ruth St N Ste 101, Saint Paul, MN 55119-4409 Ph: (651) 955-4633	Amanda Nusbaum, LPCC 9298 Central Ave Ne Ste 310, Blaine, MN 55434-4219 Ph: (651) 955-4633

Reviews and Comments

Counselor in Blaine, MN

Olivia Marie Walls, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3754
Mary Keller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Dr Ne Ste 120, Blaine, MN 55449 Phone: 763-343-9010
Alexandra Zickermann, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 9298 Central Ave Ne Ste 310, Blaine, MN 55434 Phone: 612-437-0636 Fax: 651-440-9827
Mrs. Heather L Goochey, MS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 12067 Dunkirk St Ne, Blaine, MN 55449 Phone: 218-851-0571
Jennifer Mely, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8525 Davenport St Ne, Blaine, MN 55449 Phone: 763-234-2818
Maryan Warsame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 89th Ave Ne, Blaine, MN 55434 Phone: 703-389-7174
Mrs. Lisa Cassman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12527 Central Ave Ne # 146, Blaine, MN 55434 Phone: 218-252-0233

Amanda Nusbaum, LPCC - Medicare Counselor in Blaine, MN