Individual provider Active NPI

Erica Dhakal

  • Mental Health Counselor
  • Plymouth, MN
National Provider Identifier
1184307043
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3785 Issued in MN
Practice address
10000 Hwy 55 Ste 300
Plymouth, MN 55441-6389
Phone
(763) 412-0722
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 3785 MN Primary

Addresses

Primary practice location

10000 Hwy 55 Ste 300
Plymouth, MN 55441-6389

Mailing address

10000 Hwy 55 Ste 300
Plymouth, MN 55441-6389
Phone (763) 412-0722

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
I20241230000826 MN Practitioner - Mental Health Counselor 0446787691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3785MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Oct 24, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Oct 24, 2024 Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

10000 Highway 55
Ste 300
Plymouth, MN 55441
Phone (763) 412-0722

Organizations & group practices 3

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1184307043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 HWY 55 STE 300",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416389",
            "telephone_number": "763-412-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 HWY 55 STE 300",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416389",
            "telephone_number": "763-412-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAKAL",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.