Individual provider Active NPI

Derek Saintonge, LPCC

  • Professional Counselor
  • Brainerd, MN
National Provider Identifier
1386526598
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC05030 Issued in MN
Practice address
823 Maple St
Brainerd, MN 56401-3770
Phone
(320) 639-2025
NPI assigned
Jul 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 CC05030 MN Primary

Addresses

Primary practice location

823 Maple St
Brainerd, MN 56401-3770

Mailing address

PO Box 625
Crosslake, MN 56442-0625
Phone (218) 838-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC05030MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Pines Mental Health Center, Inc. CurrentSince Mar 26, 2017 Accepting new patients
Northern Pines Mental Health Center, Inc. PastSince Jul 28, 2025 Accepting new patients

Locations

13 3rd St NE
Aitkin, MN 56431
Phone (218) 928-8003

520 NW 5th St
Brainerd, MN 56401
Phone (218) 821-7818

823 Maple St
Brainerd, MN 56401
Phone (218) 454-3826

1906 5th Ave SE
Little Falls, MN 56345
Phone (320) 492-2946

16 9th St SE
Long Prairie, MN 56347
Phone (320) 732-6602

200 4th St NE
Staples, MN 56479
Phone (218) 541-5043

11 2nd St SW
Ste 1
Wadena, MN 56482
Phone (218) 631-1714

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1386526598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "564420625",
            "telephone_number": "218-838-3118",
            "fax_number": "218-249-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAPLE ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013770",
            "telephone_number": "320-639-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTONGE",
        "first_name": "DEREK",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.