Individual provider Active NPI

Daniel J Reif, MS, LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1467724187
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2162 Issued in MN
Practice address
1650 Madison Ave Ste 102
Mankato, MN 56001-5471
Phone
(612) 223-8898
NPI assigned
Jan 27, 2012
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2162 MN Primary
Social Worker 104100000X 4672-125 WI

Addresses

Primary practice location

1650 Madison Ave Ste 102
Mankato, MN 56001-5471

Mailing address

1650 Madison Ave Ste 102
Mankato, MN 56001-5471
Phone (612) 223-8898

Other identifiers 1

IdentifierTypeStateIssuer
4672-125OtherWILPC

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
I20240117004160 MN Practitioner - Mental Health Counselor 8628420460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Solutions LLCGroup PAC ID 6709293541, 4 clinicians

Practice addresses (Care Compare)

709 S Front St
Suite 2
Mankato, MN 56001-3887
Phone (507) 304-7020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4672-125WIMDSocial Worker
2162MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Solutions LLC CurrentSince Jan 1, 2025 Accepting new patients
Five Rivers Mental Health LLC CurrentSince Apr 16, 2023 Accepting new patients
Sioux Trails Mental Health Center, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1650 Madison Ave
Ste 102
Mankato, MN 56001
Phone (507) 210-8464

709 S Front St
Ste 2
Mankato, MN 56001
Phone (507) 304-7020

Organizations & group practices 3

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1467724187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MADISON AVE STE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015471",
            "telephone_number": "612-223-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MADISON AVE STE 102",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015471",
            "telephone_number": "612-223-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2162",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "4672-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4672-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.