Lynette Carol Imdieke-struzyk, MS, LPCC is a medicare enrolled "Counselor - Mental Health" provider in South Haven, Minnesota. Her current practice location is
6069 Hidden Ln, South Haven, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 255-9188.
Lynette Carol Imdieke-struzyk is licensed to practice in Minnesota (license number CC00183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942502133.
Healthcare Provider's Profile
Full Name | Lynette Carol Imdieke-struzyk |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6069 Hidden Ln, South Haven, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942502133
- Provider Enumeration Date: 11/22/2010
- Last Update Date: 11/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 6507201506
- Enrollment ID: I20240229002559
Medical Identifiers
Medical identifiers for Lynette Carol Imdieke-struzyk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942502133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CC00183 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | CC00183 (Minnesota) | Primary |
101YP2500X | Counselor - Professional | CC00183 (Minnesota) | Secondary |
103TC1900X | Psychologist - Counseling | CC00183 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lynette Carol Imdieke-struzyk is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lynette Carol Imdieke-struzyk, MS, LPCC 6069 Hidden Ln, South Haven, MN 55382-4505 Ph: (320) 255-9188 | Lynette Carol Imdieke-struzyk, MS, LPCC 6069 Hidden Ln, South Haven, MN 55382-4505 Ph: (320) 255-9188 |
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