Individual provider Active NPI

Danielle Cotter, LMFT

  • Marriage & Family Therapist
  • Walker, MN
National Provider Identifier
1417314428
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3217 Issued in MN
Practice address
7981 Town Hall Rd NW
Walker, MN 56484-2117
Phone
(612) 799-4274
Fax
(612) 482-5609
NPI assigned
Jan 21, 2016
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 3217 MN Primary

Addresses

Primary practice location

7981 Town Hall Rd NW
Walker, MN 56484-2117

Mailing address

PO Box 250
Walker, MN 56484-0250
Phone (612) 799-4274

Other practice location 1

2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 643-5323 ext. 1121

Other practice location 2

2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 643-5323 ext. 1121

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
I20240816000738 MN Practitioner - Marriage and Family Therapist 1951744606 Practice locations: Walker, MN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Minnesota Ave W
Suite 101
Walker, MN 56484-2296
Phone (612) 799-4274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3217MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Soul Center Marriage & Family Therapist Current Accepting new patients
Mirabilis Health CurrentSince Dec 29, 2024 Accepting new patients
Danielle Cotter Dba C3 Mental Health Marriage & Family Therapist PastSince Jan 1, 2024 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist PastSince Apr 13, 2026 Accepting new patients
Ellie Family Services, PLLP PastSince Apr 21, 2018 Accepting new patients

Locations

1001 Minnesota Ave W
Ste 101
Walker, MN 56484
Phone (320) 223-0260

7981 Town Hall Rd NW
Walker, MN 56484
Phone (320) 223-0260

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1417314428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "564840250",
            "telephone_number": "612-799-4274",
            "fax_number": "612-482-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 TOWN HALL RD NW",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "564842117",
            "telephone_number": "612-799-4274",
            "fax_number": "612-482-5609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 Como Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081737",
            "country_code": "US",
            "telephone_number": "651-643-5323 x1121",
            "fax_number": "651-647-5135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2265 Como Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551081737",
            "country_code": "US",
            "telephone_number": "651-643-5323 x1121",
            "fax_number": "651-647-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "DANIELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MN

Sources for this page

Verify at the official NPI Registry.