Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609308220 Individual Practitioner Male Practitioner

Andrew Sheely , LPCC

Counselor - Professional • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Andrew Sheely, LPCC is a registered healthcare professional specializing in Counselor - Professional in Maple Grove, MN. Practice services are available at 13603 80TH CIR N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13603 80th Cir N

Maple Grove, MN 553698961

Telephone 7632743120
Fax 7632743121
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.7 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
33 Specialists

Practicing in Maple Grove, MN (2422 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC01494

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MN 1494

Definition to come...

Secondary Practice Locations

11010 Prairie Lakes Dr Ste 350

Eden Prairie, MN 553443801

Phone: 9527462522

1811 Weir Dr Ste 270

Woodbury, MN 551256741

Phone: 6517149646

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Kosfeld , LMFT

Marriage & Family Therapist

NPI 1013568310

Licensed Marriage and Family Therapist

Dr. Anita Thampy , MD

Psychiatry & Neurology - Psychiatry

NPI 1023205465

Doctor of Medicine (M.D.)

Amos Koukou , MSW, LGSW

Social Worker - Clinical

NPI 1023900560

Master of Social Work, LGSW

Daniel Knudson , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1033546445

Licensed Alcohol and Drug Counselor

Blake Malloy

Counselor - Mental Health

NPI 1033636519
Derelle Morrison

Marriage & Family Therapist

NPI 1053015230

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2018

Registered at 13603 80TH CIR N, MAPLE GROVE, MN 553698961 (Tel: 7632743120)

📍
Updated Business Mailing Address January 12, 2018

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated January 12, 2018

Recorded as ANDREW SHEELY, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Counselor (License #1494 in MN)

📍
Updated Practice Location August 24, 2017

Registered at 11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 553443801 (Tel: 9527462522)

📍
Updated Business Mailing Address August 24, 2017

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: (651) 628-9566)

NPI Profile Active April 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2017

Registered at 6425 NICOLLET AVE, RICHFIELD, MN 554231675 (Tel: 6128611675)

📍
Updated Business Mailing Address April 02, 2017

Registered at 6425 NICOLLET AVE, RICHFIELD, MN 554231675 (Tel: 6128611675)

👤
Provider Name / Credentials Updated April 02, 2017

Recorded as ANDREW SHEELY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2017

Counselor (License #1494 in MN)

🟢
Initial NPI Registration & Enumeration April 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609308220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2017
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw

New Brighton, MN 551121786

Phone: 6516289566

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.