Centerlife Counseling, LLC
NPI 1417283946 · Mental Health Counselor · Centerville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centerlife Counseling, LLC is a Mental Health Counselor organization in Centerville, MN (NPI 1417283946).
Provider details
- NPI number
- 1417283946
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Lundholm-Eades, Owner(651) 288-0332
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- Centerlife Counseling4444 Centerville Rd. Ste 235White Bear Lake, MN 55127-3712Phone: (651) 289-3111Fax: (651) 289-3113
Registry dates
- Enumerated
- 2009-10-18
- Last updated
- 2019-01-21
Frequently asked questions
- What is Centerlife Counseling, LLC's NPI number?
- Centerlife Counseling, LLC's National Provider Identifier (NPI) is 1417283946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centerlife Counseling, LLC?
- Centerlife Counseling, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Centerlife Counseling, LLC located?
- Centerlife Counseling, LLC's practice location on file with NPPES is 7039 20th Ave, Centerville, MN 55038-9737.
- What is Centerlife Counseling, LLC's phone number?
- The practice phone number listed in the NPPES registry for Centerlife Counseling, LLC is (651) 288-0332.
- Does Centerlife Counseling, LLC accept Medicare?
- Centerlife Counseling, LLC 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 Centerlife Counseling, LLC?
- The authorized official listed on Centerlife Counseling, LLC's NPPES record is Kimberly Lundholm-Eades, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centerlife Counseling, LLC's NPI active?
- Yes — Centerlife Counseling, LLC's NPI (1417283946) is active in the NPPES registry as of the last update on 2019-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.