Active NPI
Richard Kenneth Dahl, MA, LADC, LICSW
- Mental Health Counselor
- Winona, MN
National Provider Identifier
1225153265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 111 Market St Ste 3a
Winona, MN 55987-5532 - Phone
- (507) 454-3900
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300306 | MN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2177-132 | WI | |
| Clinical Social Worker | 1041C0700X | 4188123 | WI | |
| Mental Health Counselor | 101YM0800X | MN | Primary |
Addresses
Primary practice location
111 Market St Ste 3a
Winona, MN 55987-5532
Mailing address
111 Market St Ste 3a
Winona, MN 55987-5532
Phone (507) 454-3900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160735 | Other | MN | UCARE |
| HP33638 | Other | MN | HEALTHPARTNERS |
| 5H947DA | Other | MN | BLUE CROSS & BLUE SHIELD |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300306 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 2177-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 4188123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winona Counseling Clinic, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Winona, MN
- NPI 1841344116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1225153265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARKET ST STE 3A",
"city": "WINONA",
"state": "MN",
"postal_code": "559875532",
"telephone_number": "507-454-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARKET ST STE 3A",
"city": "WINONA",
"state": "MN",
"postal_code": "559875532",
"telephone_number": "507-454-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "RICHARD",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "MA, LADC, LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "300306",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "2177-132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "4188123",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "160735",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP33638",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5H947DA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.