Individual provider Active NPI

Breanna Marie Mae Hatinen, MSED

  • Mental Health Counselor
  • Duluth, MN
National Provider Identifier
1548834922
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
925 E Superior St Ste 113
Duluth, MN 55802-2253
Phone
(218) 310-8896
NPI assigned
May 19, 2021
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

925 E Superior St Ste 113
Duluth, MN 55802-2253

Mailing address

48 7TH St
Cloquet, MN 55720-1801
Phone (218) 451-1848

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
I20240410001991 MN Practitioner - Mental Health Counselor 6305284209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych North PLLC CurrentSince Feb 1, 2026 Accepting new patients
Eir Med LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

1003 E Central Entrance
Duluth, MN 55811
Phone (218) 209-2150

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

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, 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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1548834922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 7TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201801",
            "telephone_number": "218-451-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 113",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-310-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATINEN",
        "first_name": "BREANNA",
        "middle_name": "MARIE MAE",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.