Active NPI
Derek Saintonge, LPCC
- Professional Counselor
- Brainerd, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC05030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CC05030 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Mental Health Center, Inc. | Current | Accepting new patients | |
| Northern Pines Mental Health Center, Inc. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Little Falls, MN
- NPI 1013904051
-
- Community/Behavioral Health Agency
- Brainerd, MN
- NPI 1225168602
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.