Individual provider Active NPI

Brooke Fitch-Collins, MA, LPCC

  • Professional Counselor
  • Duluth, MN
National Provider Identifier
1306436795
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02640 Issued in MN
Practice address
4815 Burning Tree Rd Ste 200
Duluth, MN 55811-3833
Phone
(218) 464-0908
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 CC02640 MN Primary

Addresses

Primary practice location

4815 Burning Tree Rd Ste 200
Duluth, MN 55811-3833

Mailing address

4815 Burning Tree Rd Ste 200
Duluth, MN 55811-3833
Phone (218) 464-0908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC02640MNMDProfessional Counselor
2640MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Quality Psychiatry PLLC CurrentSince Apr 22, 2024 Accepting new patients
HP Psychological Associates, PC CurrentSince Apr 22, 2024 Accepting new patients

Locations

4815 Burning Tree Rd
Ste 200
Duluth, MN 55811
Phone (218) 464-0908

4135 Richard Ave
Ste 201
Hermantown, MN 55811
Phone (218) 464-0908

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1306436795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113833",
            "telephone_number": "218-464-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 BURNING TREE RD STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113833",
            "telephone_number": "218-464-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH-COLLINS",
        "first_name": "BROOKE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.