Individual provider Active NPI

Matthew John Fritscher, LPCC

  • Mental Health Counselor
  • Fridley, MN
National Provider Identifier
1073819306
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00213 Issued in MN
Practice address
7260 University Ave NE
Suite 235
Fridley, MN 55432
Phone
(763) 572-2605
Fax
(763) 572-2606
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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 CC00213 MN Primary

Addresses

Primary practice location

7260 University Ave NE
Suite 235
Fridley, MN 55432

Mailing address

7260 University Ave NE
Suite 235
Fridley, MN 55432
Phone (763) 572-2605

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
I20250501001100 MN Practitioner - Mental Health Counselor 8921524083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC00213MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Counseling Assessment and Mediation Centers PLLC CurrentSince Apr 8, 2025 Accepting new patients
Affiliated Counseling Center CurrentSince Apr 8, 2025 Accepting new patients

Locations

7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1073819306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "SUITE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "SUITE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCHER",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.