Alice I. Congdon, L.P.C.C.
NPI 1396102364ActiveIndividual· Counselor, Professional· Coon Rapids, MN
Counselor, Professional (L.P.C.C.) with Nystrom and Associates Ltd, practicing in Coon Rapids, Minnesota. Medicare paid $8,065 for services to 32 patients in 2024.
Overview
| NPI | 1396102364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C.C. |
| Sole proprietor | No |
| NPI issued | Jan 21, 2016 |
| Last updated in NPPES | Apr 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 00957 | MN |
| Counselor, School | 101YS0200X | 463353 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 129 across 4 procedure codes |
| Paid by Medicare | $8,065 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
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