Individual provider Active NPI

Christa Ruth Surerus, LPCC

  • Mental Health Counselor
  • Golden Valley, MN
National Provider Identifier
1326232729
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00186 Issued in MN
Practice address
4150 Olson Memorial Hwy Ste 420
Golden Valley, MN 55422-4849
Phone
(866) 522-2472
Fax
(763) 717-8049
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00186 MN Primary

Addresses

Primary practice location

4150 Olson Memorial Hwy Ste 420
Golden Valley, MN 55422-4849

Mailing address

12800 Whitewater Dr Ste 310
Minnetonka, MN 55343-9347
Phone (866) 522-2472

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
I20240501002164 MN Practitioner - Mental Health Counselor 2365806080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birch Counseling, PLLC.Group PAC ID 0840554218, 5 clinicians

Practice addresses (Care Compare)

4150 Olson Memorial Hwy
Suite 420
Golden Valley, MN 55422-4849
Phone (866) 522-2472

4500 Park Glen Rd
Suite 270
St Louis Park, MN 55416-5826
Phone 86652224725

708 N 1St St
Suite 242
Minneapolis, MN 55401-1145
Phone 8665222472809

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Counseling, PLLC. Mental Health CurrentSince Mar 8, 2019 Accepting new patients

Locations

4150 Olson Memorial Hwy
Ste 420
Golden Valley, MN 55422
Phone (763) 710-9091

32 10th Ave S
Ste 212
Hopkins, MN 55343
Phone (612) 314-5652

904 Mainstreet
Ste 200
Hopkins, MN 55343
Phone (866) 522-2472

12800 Whitewater Dr
Ste 310
Minnetonka, MN 55343
Phone (866) 244-2472

Organizations & group practices 1

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1326232729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 310",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347",
            "telephone_number": "866-522-2472",
            "fax_number": "763-717-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 OLSON MEMORIAL HWY STE 420",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224849",
            "telephone_number": "866-522-2472",
            "fax_number": "763-717-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURERUS",
        "first_name": "CHRISTA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.