Eclectic Therapy Collective PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ECLECTIC THERAPY COLLECTIVE PLLC

Practice address

119 4TH St S
Moorhead, MN 56560-2613

Phone

(320) 460-0070

NPI assigned

Sep 4, 2025

Last updated

Mar 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah ConnellNPI 1699315838

Title

Owner

Phone

(701) 404-7458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Ann Connell, LPC

  • Professional Counselor
  • Moorhead, MN
  • NPI 1699315838
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Ann Dobbins

  • Mental Health Counselor
  • Moorhead, MN
  • NPI 1982219390
  Medicare reassignment Care Compare group NPD
• Danielle Weller

  • Professional Counselor
  • Moorhead, MN
  • NPI 1720945983
  Medicare reassignment Care Compare group NPD
• Kristin Appel, LSW

  • Social Worker
  • Moorhead, MN
  • NPI 1215393087
  Medicare reassignment Care Compare group
• Anika Lauren Walstrom, M.ED., LPCC

  • Professional Counselor
  • Moorhead, MN
  • NPI 1558106948
  Medicare reassignment NPD
• David Jerome Hanson, MD

  • Anesthesiology Physician
  • Fargo, ND
  • NPI 1932262474
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1366322000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 4TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 4TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602613",
            "telephone_number": "320-460-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC THERAPY COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-404-7458"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Dux
• Kelsi Dybedahl
• E & G Express Transportation LLC
• Bridgette Marie Eastman, PHD, LP, LPCC
• Jodee Eckart
• Ecumen
• Nadia Efon
• Tori Eggert
• Marilyn Ek, NP-C
• Thea Beth Eklund

• Professional Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.