Life Interrupted Counseling Services
NPI 1033821632 · Adolescent and Children Mental Health Clinic/Center · Burnsville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Interrupted Counseling Services is a Adolescent and Children Mental Health Clinic/Center organization in Burnsville, MN (NPI 1033821632).
Provider details
- NPI number
- 1033821632
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Chedda, Ceo/Sole Proprietor(651) 338-8643
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-15
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Life Interrupted Counseling Services's NPI number?
- Life Interrupted Counseling Services's National Provider Identifier (NPI) is 1033821632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Interrupted Counseling Services?
- Life Interrupted Counseling Services is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Life Interrupted Counseling Services located?
- Life Interrupted Counseling Services's practice location on file with NPPES is 1500 Mcandrews Rd W Ste 215, Burnsville, MN 55337-4445.
- What is Life Interrupted Counseling Services's phone number?
- The practice phone number listed in the NPPES registry for Life Interrupted Counseling Services is (952) 222-3002.
- Does Life Interrupted Counseling Services accept Medicare?
- Life Interrupted Counseling Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Interrupted Counseling Services?
- The authorized official listed on Life Interrupted Counseling Services's NPPES record is Mary Chedda, Ceo/Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Interrupted Counseling Services's NPI active?
- Yes — Life Interrupted Counseling Services's NPI (1033821632) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.