MICHAEL PROEBSTLE MA, LPC
NPI 1205466125
Counselor in Eagan, MN
NPI Status: Active since January 20, 2020
Contact Information
4141 OLD SIBLEY MEMORIAL HWY
EAGAN, MN
ZIP 55122
Phone: (612) 888-3858
- Individual
- Male
- Counselor
- Accepts Insurance
- Opted-Out Medicare
About MICHAEL PROEBSTLE
This page provides the complete NPI Profile along with additional information for Michael Proebstle, a provider established in Eagan, Minnesota with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1205466125 assigned on January 2020. The practitioner's primary taxonomy code is 101Y00000X with license number 2310 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1205466125
- Provider Name
- MICHAEL PROEBSTLE MA, LPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122
- Location Phone
- (612) 888-3858
- Mailing Address
- 3763 DENMARK TRL W EAGAN, MN 55123
- Mailing Phone
- (612) 888-3858
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-20-2020
- Last Update Date
- 01-20-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michael Proebstle opted out of Medicare effective on 01-23-2025 until 01-23-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2310
- License State
- MN
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-23-2025
Opt-Out End Date: 01-23-2027
Eligible to Order and Refer? No
Reviews for MICHAEL PROEBSTLE MA, LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 4 | 6 | 6 | 1 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 8 | 6 | 12 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 8 + 6 + 1 + 2 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1205466125 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114170404 | SACRED SPIRAL RESOURCES LLC Organization | Community/Behavioral Health | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 686-8818 |
| 1902031776 | BONNIE G. RESNICK, PSY.D., LLC Organization | Clinic/Center (Adult Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 686-8818 |
| 1467122804 | ABUNDANT PEACE COUNSELING PC Organization | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 888-3858 |
| 1992277156 | ALMA LORENA VILLASENOR FIERROS MA, LPCC Individual | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 806-9385 |
| 1376226068 | ELENA SHAFFER MA, LPCC Individual | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 686-8818 |
| 1396492344 | RYAN DREWIANKA LPCC Individual | Counselor (Professional) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 217-0650 |
| 1023875366 | TELOS COUNSELING, LLC Organization | Counselor (Professional) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 217-0650 |
| 1891551404 | JUNIPER COUNSELING SERVICES LLC Organization | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (218) 341-9208 |
| 1033972054 | SALT AND STONE PSYCHOTHERAPY, LLC Organization | Marriage & Family Therapist | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (952) 769-4401 |
| 1700624509 | DYLAN LYONS MA, LPCC Individual | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 491-9859 |
| 1831927862 | IN-ALIGNMENT COUNSELING, LLC Organization | Counselor (Professional) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 491-9859 |
| 1932926631 | ELOISE ERASMUS PHD LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 850-0589 |
| 1851667067 | ELOISE ERASMUS PH.D Individual | Psychologist | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 850-0589 |
| 1386442150 | ROOTED INSIGHTS, LTD Organization | Counselor (Mental Health) | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (651) 336-5658 |
| 1275309791 | AUTHENTIC THERAPEUTIC SERVICES L.L.C. Organization | Marriage & Family Therapist | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 244-3330 |
| 1548839863 | CAROLINE ELIZABETH KADING MA, LMFT Individual | Marriage & Family Therapist | 4141 OLD SIBLEY MEMORIAL HWY EAGAN, MN 55122 (612) 482-3995 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205466125, enumerated in the NPI registry as an "individual" on January 20, 2020
The provider is located at 4141 Old Sibley Memorial Hwy Eagan, Mn 55122 and the phone number is (612) 888-3858
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 23, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 23, 2027.
This NPI record was last updated on January 20, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.