Daniel L Monserud, LICSW
Individual provider Active NPI Mental Health Counselor · South St Paul, MN
NPI 1306555487 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1306555487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 16355 (MN)
- Practice address
- 409 17TH Ave N
South St Paul, MN 55075-1835 - Phone
- (612) 407-8072
- NPI assigned
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16355 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Psychiatric, LLC | Mental Health | Current |
Accepting new patients |
Locations
9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16355 | MN | Yes |
Addresses
Primary practice location
409 17TH Ave N
South St Paul, MN 55075-1835
Mailing address
409 17TH Ave N
South St Paul, MN 55075-1835
Phone (612) 407-8072
Other providers in South St Paul, MN
- Amber Martina Lindeman
- Brenly Maldonado
- Thomas Anthone Taylor Matros
- Charles Glen Mickelson
- Shelly Moland
- Mpowerme Behavioral Health Solutions
- Meghan Neu
- Dale Victor Olson
- Optom Spot PC
- Cirenia Ortega
All providers in South St Paul, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.