Individual provider Active NPI

Toby Dennert

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1023474475
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03161 Issued in MN
Practice address
3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070
Phone
(612) 400-9685
NPI assigned
Jan 14, 2016
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03161 MN Primary

Addresses

Primary practice location

3801 W 50TH St Ste 250B
Minneapolis, MN 55410-2070

Mailing address

7 Southgate Rd Apt 32
Middletown, NY 10940-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250728000885 MN Practitioner - Mental Health Counselor 2163939968 Reassigns benefits to 1 organization
I20260313001726 PA Practitioner - Mental Health Counselor 2163939968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbor Vitae Behavioral Health, LLCGroup PAC ID 9537529789, 5 clinicians

Practice addresses (Care Compare)

1258 Purdytown Tpke
Lakeville, PA 18438-6793
Phone (570) 647-9277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC03161MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Aug 11, 2025 Accepting new patients
Arbor Vitae Behavioral Health, LLC CurrentSince Jan 30, 2026 Accepting new patients
Family Support Services Inc. Mental Health PastSince Mar 3, 2024 Accepting new patients
Family Innovations, Inc. PastSince May 7, 2020 Accepting new patients

Locations

6600 France Ave S
Ste 425
Edina, MN 55435
Phone (952) 243-8300

3801 W 50th St
Ste 250B
Minneapolis, MN 55410
Phone (612) 400-9685

13100 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (952) 206-2040

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1811 Weir Dr
Ste 270
Woodbury, MN 55125
Phone (651) 243-6087

1258 Purdytown Tpke
Lakeville, PA 18438
Phone (570) 226-1963

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1023474475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHGATE RD APT 32",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 50TH ST STE 250B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102070",
            "telephone_number": "612-400-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNERT",
        "first_name": "TOBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.