Corinne Marie Nechalova

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01943 Issued in MN

Practice address

790 Cleveland Ave S Ste 223
Saint Paul, MN 55116-3867

Phone

(971) 345-5406

NPI assigned

Oct 4, 2018

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Lyn-Lake Psychotherapy and Wellness LTDGroup PAC ID 9638581291, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyn-Lake Psychotherapy and Wellness LTD.

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1609355163
  Medicare reassignment Care Compare group NPD
• CN Services, Inc.

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1326854993
  NPD Authorized official
• Center for Collaborative Health PLLC

  • Counseling Psychologist
  • Edina, MN
  • NPI 1417328808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1114492261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 223",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 223",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163867",
            "telephone_number": "971-345-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHALOVA",
        "first_name": "CORINNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NBH Water Street LLC
• Ndecision Medical Supply,LLC (Decision Medical)
• Ngon Minang Ndifongwa, LICSW
• Augustina Chinwe Nduagu
• Lucille Katherine Neale, MPS, LPCC, LADC
• Shawn Robert Neel, LMFT
• Narendran Mavinakayinahalli Neelakantachar, M.D.
• Wendy Neer
• Leah Neff, MSW, LICSW
• Bethelhem Negash

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.