Individual provider Active NPI

Amy Schaffer, MA, LPP, LPC

  • Counseling Psychologist
  • International Falls, MN
National Provider Identifier
1497927594
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
1902 Valley Pine Cir
International Falls, MN 56649-2179
Phone
(218) 283-3406
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1902 Valley Pine Cir
International Falls, MN 56649-2179

Mailing address

1902 Valley Pine Cir
International Falls, MN 56649-2179
Phone (218) 283-3406

Other identifiers 3

IdentifierTypeStateIssuer
3H582JOOtherMNBSBS
322853300MedicaidMN
61-00304OtherUBH

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
I20240611002733 MN Practitioner - Clinical Psychologist 4284176884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northland Counseling Center IncGroup PAC ID 1153389242, 25 clinicians

Practice addresses (Care Compare)

1902 Valley Pine Cir
International Falls, MN 56649-2179
Phone (218) 283-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Counseling Center, Inc. CurrentSince Apr 30, 2024 Accepting new patients
Northland Counseling Center Kooch Office CurrentSince Apr 30, 2024 Accepting new patients

Locations

236 15th Ave SW
Baudette, MN 56623
Phone (218) 283-3406

215 SE 2nd Ave
Grand Rapids, MN 55744
Phone (218) 326-1274

1404 Hwy 71
International Falls, MN 56649
Phone (218) 283-3406

1902 Valley Pine Cir
International Falls, MN 56649
Phone (218) 283-3406

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1497927594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 VALLEY PINE CIR",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492179",
            "telephone_number": "218-283-3406",
            "fax_number": "218-283-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 VALLEY PINE CIR",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492179",
            "telephone_number": "218-283-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "AMY",
        "credential": "MA, LPP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS",
            "identifier": "3H582JO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322853300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "61-00304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in International Falls, MN

Sources for this page

Verify at the official NPI Registry.