Individual provider Active NPI

Michelle Marie Noffze, LPCC

  • Counselor
  • Park Rapids, MN
National Provider Identifier
1689264178
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC02591 Issued in MN
Practice address
1009 Hollinger St
Park Rapids, MN 56470-1300
Phone
(218) 252-8016
NPI assigned
Jan 19, 2021
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC02591 MN Primary

Addresses

Primary practice location

1009 Hollinger St
Park Rapids, MN 56470-1300

Mailing address

1009 Hollinger St
Park Rapids, MN 56470-1300
Phone (218) 252-8016

Other identifiers 1

IdentifierTypeStateIssuer
1689264178MedicaidMN

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
I20240111002198 MN Practitioner - Mental Health Counselor 8123479334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 Hollinger St
Park Rapids, MN 56470-1300
Phone (218) 699-3510

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02591MNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jan 1, 2024 Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1009 Hollinger St
Park Rapids, MN 56470
Phone (218) 252-2785

Organizations & group practices 3

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1689264178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 HOLLINGER ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701300",
            "telephone_number": "218-252-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HOLLINGER ST",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701300",
            "telephone_number": "218-252-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFZE",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC02591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689264178",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.