Individual provider Active NPI

Allison Decamillis, LPCC, ATR

  • Mental Health Counselor
  • Chaska, MN
National Provider Identifier
1477147569
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01514 Issued in MN
Practice address
1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318-1000
Phone
(952) 240-3334
NPI assigned
Mar 1, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC01514 MN Primary
Art Therapist 221700000X 11-044 MN

Addresses

Primary practice location

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318-1000

Mailing address

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318-1000
Phone (952) 240-3334

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240822002351 MN Practitioner - Mental Health Counselor 0446799407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inmind HealthGroup PAC ID 3375989288, 8 clinicians

Practice addresses (Care Compare)

1107 Hazeltine Blvd
Suite 496
Chaska, MN 55318-1000
Phone (952) 295-8831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC01514MNMDMental Health Counselor
11-044MNMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inmind Health, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1107 Hazeltine Blvd
Ste 496
Chaska, MN 55318
Phone (952) 240-3334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1477147569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BOULEVARD",
            "address_2": "SUITE 496, MD 45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181000",
            "telephone_number": "952-240-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BOULEVARD",
            "address_2": "SUITE 496, MD 45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181000",
            "telephone_number": "952-240-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAMILLIS",
        "first_name": "ALLISON",
        "credential": "LPCC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01514",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MN",
            "license": "11-044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.