Colin Benidt, MS

Individual provider Active NPI Professional Counselor · New Brighton, MN

NPI 1124723291 · NPPES record last updated Mar 30, 2023

Key facts

NPI
1124723291
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone
(651) 628-9566
Fax
(651) 628-0411
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

Mailing address

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone (651) 628-9566

Other providers in New Brighton, MN

All providers in New Brighton, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.