Active NPI
Dana Elkun, MA, LPCC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1528542487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01796
- Practice address
- 3802A Grand Ave S
Minneapolis, MN 55409-1233 - Phone
- (206) 390-7393
- NPI assigned
- Sep 18, 2018
- Last updated
- Feb 17, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01796 | MN | Primary |
Addresses
Primary practice location
3802A Grand Ave S
Minneapolis, MN 55409-1233
Mailing address
3802A Grand Ave S
Minneapolis, MN 55409-1233
Phone (206) 390-7393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC01796 | Other | MN | MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01796 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Elkun LLC | Mental Health | Current | Accepting new patients |
Locations
3802A Grand Ave S
Minneapolis, MN 55409
Phone (206) 390-7393
410 E 48th St
Minneapolis, MN 55419
Phone (612) 482-9305
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.
-
dba Minneapolis Mindful Therapy
- Mental Health Counselor
- Minneapolis, MN
- NPI 1114712742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1528542487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3802A GRAND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091233",
"telephone_number": "206-390-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802A GRAND AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091233",
"telephone_number": "206-390-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKUN",
"first_name": "DANA",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY",
"identifier": "CC01796",
"state": "MN"
}
],
"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 Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.