Individual provider Active NPI

Abbie Lupelow

  • Mental Health Counselor
  • Eden Prairie, MN
National Provider Identifier
1831052646
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC05401 Issued in MN
Practice address
6640 Shady Oak Rd Ste 401
Eden Prairie, MN 55344-7834
Phone
(715) 256-7166
Fax
(888) 427-8048
NPI assigned
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 CC05401 MN Primary
Mental Health Counselor 101YM0800X 12848-125 WI

Addresses

Primary practice location

6640 Shady Oak Rd Ste 401
Eden Prairie, MN 55344-7834

Mailing address

800 Wilson Ave RM 330
Menomonie, WI 54751-2746
Phone (715) 256-7166

Other practice location 1

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746
Phone (715) 256-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
306773MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychological and Consulting Services LLC Professional CurrentSince Dec 14, 2025 Accepting new patients

Locations

6640 Shady Oak Rd
Ste 401
Eden Prairie, MN 55344
Phone (715) 256-7166

800 Wilson Ave
Rm 330
Menomonie, WI 54751
Phone (715) 256-7166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1831052646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WILSON AVE RM 330",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512746",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SHADY OAK RD STE 401",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447834",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Wilson Ave Rm 330",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512746",
            "country_code": "US",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPELOW",
        "first_name": "ABBIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC05401",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12848-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.