Active NPI
Madeline A Metz
- Professional Counselor
- St Louis Park, MN
National Provider Identifier
1043915549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4313
- Practice address
- 7601 Wayzata Blvd
St Louis Park, MN 55426-1623 - Phone
- (612) 963-9693
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 4313 | MN | Primary |
Addresses
Primary practice location
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Mailing address
7601 Wayzata Blvd
St Louis Park, MN 55426-1623
Phone (612) 963-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2026 through May 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7601 Wayzata Blvd
Saint Louis Park, MN 55426-1623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Care Clinics, LLC | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado PC | Current | Accepting new patients |
Locations
7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268
7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- St Louis Park, MN
- NPI 1851716245
-
- Psychologist
- Edina, MN
- NPI 1336967561
-
- Clinical Psychologist
- Baxter, MN
- NPI 1124898556
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1043915549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-963-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261623",
"telephone_number": "612-963-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "MADELINE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.