Mark Bartley, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2396 Issued in MN

Practice address

904 Mainstreet Ste 200
Hopkins, MN 55343-7589

Phone

(866) 522-2472

NPI assigned

May 7, 2020

Last updated

May 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Twin Cities Counseling

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1033876636
  Medicare reassignment NPD
• Birch Counseling, PLLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minnetonka, MN
  • NPI 1598186330
  NPD

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1376165795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MAINSTREET STE 200",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437589",
            "telephone_number": "952-562-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MAINSTREET STE 200",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437589",
            "telephone_number": "866-522-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "MARK",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL IN PROCESS",
            "identifier": "1989",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theranest",
            "affiliation": "N",
            "endpointDescription": "full services EHR",
            "address_1": "904 Mainstreet Ste 200",
            "city": "Hopkins",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553437589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Axistify Corp (Axistify)
• Amanda Bacon Dwinell, LPCC
• Catherine Rose Bangasser, PHARMD
• Ashley Barrows-Atlas, MEDICAL ASSISTANT
• Katie Barthel, CMT
• Lea Ellen Baumgartner
• Be Curious and LLC
• Beacon Care Partners LLC
• Malea Becker, OTR/L
• Chris Ann Beckmann, RPH

• Mental Health Counselor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.