Individual provider Active NPI

Danielle Malo Link, LPCC

  • Mental Health Counselor
  • Maple Grove, MN
National Provider Identifier
1164631230
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
04147 Issued in MN
Practice address
11954 70TH PL N
Maple Grove, MN 55369-5449
Phone
(612) 281-7793
NPI assigned
May 22, 2007
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 04147 MN Primary
Music Therapist 225A00000X NU

Addresses

Primary practice location

11954 70TH PL N
Maple Grove, MN 55369-5449

Mailing address

323 Karen LN.
Big Lake, MN 55309
Phone (612) 281-7793

Other names 1

  • Danielle Dawn Malo Former name

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
I20250611001137 MN Practitioner - Mental Health Counselor 0840700589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conscious Healing Counseling IncGroup PAC ID 4688095268, 16 clinicians

Practice addresses (Care Compare)

15243 Nowthen Blvd NW
Ramsey, MN 55303-6138
Phone (612) 900-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04147MNMDMental Health Counselor
4147MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Healing Counseling Inc Mental Health CurrentSince Jun 4, 2025 Accepting new patients

Locations

2705 Bunker Lake Blvd NW
Ste 112
Andover, MN 55304
Phone (612) 900-0233

15243 Nowthen Blvd NW
Ramsey, MN 55303
Phone (612) 900-0233

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1164631230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 KAREN LN.",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "55309",
            "telephone_number": "612-281-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11954 70TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695449",
            "telephone_number": "612-281-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "DANIELLE",
        "middle_name": "MALO",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "04147",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MALO",
            "middle_name": "DAWN",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.