Individual provider Active NPI

Rachael Britton, MA

  • Clinical Psychologist
  • Burnsville, MN
National Provider Identifier
1558648774
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5975 Issued in MN
Practice address
12400 Portland Ave Ste 180
Burnsville, MN 55337-6875
Phone
(516) 571-4008
Fax
(612) 500-4640
NPI assigned
Nov 16, 2011
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP5975 MN
Clinical Psychologist 103TC0700X 5975 MN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

12400 Portland Ave Ste 180
Burnsville, MN 55337-6875

Mailing address

12400 Portland Ave Ste 180
Burnsville, MN 55337-6875
Phone (516) 571-4008

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
I20160122000366 MN Practitioner - Clinical Psychologist 9638472863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12400 Portland Ave
Suite 180
Burnsville, MN 55337-6875
Phone (651) 571-4008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Counseling Center Clinical CurrentSince Jan 14, 2021 Accepting new patients
Breaking Limitations Therapy & Consultation LLC Clinical CurrentSince Jul 8, 2024 Accepting new patients
Family Support Services Inc. PastSince Jan 1, 2016 Accepting new patients

Locations

12400 Portland Ave
Ste 180
Burnsville, MN 55337
Phone (952) 405-9601

4660 Slater Rd
Ste 145
Saint Paul, MN 55122
Phone (651) 440-9159

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1558648774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376875",
            "telephone_number": "516-571-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 180",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376875",
            "telephone_number": "516-571-4008",
            "fax_number": "612-500-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTON",
        "first_name": "RACHAEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5975",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5975",
            "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 Burnsville, MN

Sources for this page

Verify at the official NPI Registry.