Individual provider Active NPI

Debra Maria Miller-Rasmussen, LPCC

  • Professional Counselor
  • Edina, MN
National Provider Identifier
1083911531
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00123 Issued in MN
Practice address
4401 Dunberry LN
Edina, MN 55435-1618
Phone
(952) 217-4740
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00123 MN Primary

Addresses

Primary practice location

4401 Dunberry LN
Edina, MN 55435-1618

Mailing address

4401 Dunberry LN
Edina, MN 55435-1618
Phone (952) 217-4740

Other identifiers 1

IdentifierTypeStateIssuer
00126OtherMNMN BOARD OF CERTIFIED COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00123MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1083911531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 DUNBERRY LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351618",
            "telephone_number": "952-217-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 DUNBERRY LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351618",
            "telephone_number": "952-217-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-RASMUSSEN",
        "first_name": "DEBRA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF CERTIFIED COUNSELORS",
            "identifier": "00126",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.