Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Marie-Ange Overby, LMFT, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689184079

Nicole Marie-Ange Overby, LMFT, LADC is a Marriage and Family Therapist in Rogers, Minnesota. Qualified in 2017, 9 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

14040 Northdale Blvd Ste 100
Rogers, MN 55374-9612
Phone: (763) 488-4100
Fax: (763) 488-4105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 — (651) 348-5652

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3404 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304650 (MN)

Record details

NPI number1689184079
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT , LADC
Sole proprietorNo
NPI enumeratedOctober 11, 2017
Last updated in NPPESAugust 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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