Individual provider Active NPI

Rachel D Harris, LMFT

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1386471266
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4552 Issued in MN
Practice address
730 E 38TH St Ste 101
Minneapolis, MN 55407-5218
Phone
(612) 305-8510
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 4552 MN Primary

Addresses

Primary practice location

730 E 38TH St Ste 101
Minneapolis, MN 55407-5218

Mailing address

47 12TH Ave NE
Saint Cloud, MN 56304-0914
Phone (612) 206-7725

Other practice location 1

586 Dodge Ave NW
Elk River, MN 55330-1912
Phone (218) 639-6358

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
I20250226003089 MN Practitioner - Marriage and Family Therapist 0446770952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regroup Counseling and Consulting PSCGroup PAC ID 0648689042, 5 clinicians
Edges Wellness Center LLCGroup PAC ID 9638613607, 8 clinicians

Practice addresses (Care Compare)

586 Dodge Ave NW
Elk River, MN 55330-1913
Phone (763) 350-9687

730 E 38TH St
Suite 101
Minneapolis, MN 55407-5218
Phone (612) 217-0584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4552MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regroup Counseling and Consulting PSC CurrentSince Jan 1, 2025 Accepting new patients
Edges Wellness Center LLC Mental Health CurrentSince Dec 22, 2024 Accepting new patients

Locations

161 4th St
Ste B
Albany, MN 56307
Phone (320) 840-0020

586 Dodge Ave NW
Ste B
Elk River, MN 55330
Phone (763) 350-9687

18336 Joplin St NW
Elk River, MN 55330
Phone (763) 350-9687

730 E 38th St
Ste 101
Minneapolis, MN 55407
Phone (612) 217-0584

Organizations & group practices 2

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1386471266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 12TH AVE NE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040914",
            "telephone_number": "612-206-7725",
            "fax_number": "612-206-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 38TH ST STE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075218",
            "telephone_number": "612-305-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Dodge Ave NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301912",
            "country_code": "US",
            "telephone_number": "218-639-6358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.