Individual provider Active NPI

Courtney Rae Mensink, LADC, LPCC

  • Mental Health Counselor
  • Burnsville, MN
National Provider Identifier
1275245706
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3973 Issued in MN
Practice address
2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822
Phone
(763) 515-9246
Fax
(612) 444-3292
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305760 MN
Mental Health Counselor 101YM0800X 3973 MN Primary

Addresses

Primary practice location

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822

Mailing address

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822
Phone (763) 515-9246

Other practice location 1

7600 143rd St W
Apple Valley, MN 55124-5528
Phone (651) 373-9440

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
I20240531002488 MN Practitioner - Mental Health Counselor 5597107862 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305760MNMDAddiction (Substance Use Disorder) Counselor
3973MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Recovery, Inc CurrentSince Oct 1, 2025 Accepting new patients
Tamera Mensink TM Counseling LLC CurrentSince Apr 6, 2024 Accepting new patients

Locations

7600 143rd St W
Ste 300
Apple Valley, MN 55124
Phone (651) 373-9440

2970 Judicial Rd
Ste 100
Burnsville, MN 55337
Phone (952) 715-6453

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1275245706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 JUDICIAL RD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377822",
            "telephone_number": "763-515-9246",
            "fax_number": "612-444-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 JUDICIAL RD STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553377822",
            "telephone_number": "763-515-9246",
            "fax_number": "612-444-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 143rd St W",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551245528",
            "country_code": "US",
            "telephone_number": "651-373-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSINK",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305760",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.