Individual provider Active NPI

Adam Todd Fieldson

  • Professional Counselor
  • Edina, MN
National Provider Identifier
1295696334
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC05305 Issued in MN
Practice address
7401 Metro Blvd Ste 425
Edina, MN 55439-3011
Phone
(651) 217-1480
Fax
(833) 942-5926
NPI assigned
Nov 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC05305 MN Primary

Addresses

Primary practice location

7401 Metro Blvd Ste 425
Edina, MN 55439-3011

Mailing address

5995 Oren Ave N Ste 203
Ste 203
Oak Park Heights, MN 55082-6379

Other practice location 1

5995 Oren Ave N STE 203
Ste 203
Oak Park Heights, MN 55082-6379
Phone (651) 528-5599

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
I20251212000413 MN Practitioner - Mental Health Counselor 7214421668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC05305MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Psychiatric Services LLC CurrentSince Nov 24, 2025 Accepting new patients
Vantage Mental Health CurrentSince Dec 2, 2025 Accepting new patients

Locations

7401 Metro Blvd
Ste 425
Edina, MN 55439
Phone (651) 217-1480

5995 Oren Ave N
Ste 203
Stillwater, MN 55082
Phone (651) 217-1480

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1406 Hilltop RDG
Houlton, WI 54082-2013

5995 Oren Ave N
Suite 203
Oak Park Heights, MN 55082-6379

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1295696334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 203",
            "address_2": "STE 203",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550826379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 425",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393011",
            "telephone_number": "651-217-1480",
            "fax_number": "833-942-5926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5995 Oren Ave N STE 203",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "Oak Park Heights",
            "state": "MN",
            "postal_code": "550826379",
            "country_code": "US",
            "telephone_number": "651-528-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDSON",
        "first_name": "ADAM",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.