Active NPI
David Adair, LPCC
- Professional Counselor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC03062
- Practice address
- 7601 Wayzata Blvd
Minneapolis, MN 55426-1626 - Phone
- (612) 223-8898
- NPI assigned
- Feb 11, 2021
- Last updated
- Nov 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | CC03062 | MN | Primary |
Addresses
Primary practice location
7601 Wayzata Blvd
Minneapolis, MN 55426-1626
Mailing address
7601 Wayzata Blvd
Minneapolis, MN 55426-1626
Phone (612) 223-8898
Other practice location 1
310 Clifton Ave
Minneapolis, MN 55403-3218
Phone (612) 223-8898
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 W 77TH St
Suite 370
Edina, MN 55439
Phone (612) 464-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03062 | MN | MD | Professional Counselor |
| 3062 | MN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Therapy Group | Current | Accepting new patients |
Locations
4600 77th St W
Ste 370
Edina, MN 55435
Phone (612) 464-1400
7777 Washington Ave S
Ste 101
Minneapolis, MN 55439
Phone (612) 464-1400
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Edina, MN
- NPI 1679167126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1508459462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554261626",
"telephone_number": "612-223-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 WAYZATA BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554261626",
"telephone_number": "612-223-8898"
}
],
"practiceLocations": [
{
"address_1": "310 Clifton Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033218",
"country_code": "US",
"telephone_number": "612-223-8898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAIR",
"first_name": "DAVID",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.