Active NPI
Adam Todd Fieldson
- Professional Counselor
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC05305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251212000413 | MN | Practitioner - Mental Health Counselor | 7214421668 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC05305 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Psychiatric Services LLC | Current | Accepting new patients | |
| Vantage Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park Heights, MN
- NPI 1538990288
MN
-
- Psychiatry Physician
- Oak Park Heights, MN
- NPI 1699525857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.