Individual provider Active NPI

Benjamin Tyler Morse

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1366260606
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5113 Issued in MN
Practice address
2400 Park Ave
Minneapolis, MN 55404-3713
Phone
(888) 881-8261
Fax
(320) 316-2088
NPI assigned
Sep 26, 2024
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 5113 MN Primary

Addresses

Primary practice location

2400 Park Ave
Minneapolis, MN 55404-3713

Mailing address

524 W Bijou St
Colorado Springs, CO 80905-1311

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
I20250815001771 MN Practitioner - Mental Health Counselor 6507365756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

2400 Park Ave
Minneapolis, MN 55404-3713
Phone (888) 881-8261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5113MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince Aug 4, 2025 Accepting new patients

Locations

716 E St NE
Brainerd, MN 56401
Phone (218) 828-7379

2400 Park Ave
Minneapolis, MN 55404
Phone (612) 879-8730

2835 W Saint Germain St
Ste 550
Saint Cloud, MN 56301
Phone (320) 251-7700

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1366260606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809051311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043713",
            "telephone_number": "888-881-8261",
            "fax_number": "320-316-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "BENJAMIN",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.