Individual provider Active NPI

Daniel Robertson, LPCC

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1053936625
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2460 Issued in MN
Practice address
715 E Central Entrance
Duluth, MN 55811-5596
Phone
(218) 723-8153
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 2460 MN Primary

Addresses

Primary practice location

715 E Central Entrance
Duluth, MN 55811-5596

Mailing address

412 W Superior St
Duluth, MN 55802-1512
Phone (218) 390-0929

Other practice location 1

412 W Superior St
Duluth, MN 55802-1512
Phone (218) 390-0929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel@mnpsych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240502003063 MN Practitioner - Mental Health Counselor 3072953306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrowhead Psychological Clinic, P.a.Group PAC ID 4880629633, 9 clinicians

Practice addresses (Care Compare)

715 E Central Entrance
Duluth, MN 55811-5596
Phone (218) 723-8153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Psychological Clinic, P.a. CurrentSince Apr 1, 2024 Accepting new patients
Aeriel Recovery Services Mental Health PastSince Aug 13, 2023 Accepting new patients

Locations

715 E Central Entrance
Duluth, MN 55811
Phone (218) 723-8153

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1053936625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021512",
            "telephone_number": "218-390-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E CENTRAL ENTRANCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115596",
            "telephone_number": "218-723-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W Superior St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021512",
            "country_code": "US",
            "telephone_number": "218-390-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DANIEL",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel@mnpsych.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "715 E Central Entrance",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558115596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.