Active NPI
Linda Beutel, MA, LPCC
- Professional Counselor
- Wayzata, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-19464
- Practice address
- 600 Twelve Oaks Center Drive
642D
Wayzata, MN 55391-5539 - Phone
- (952) 999-3624
- NPI assigned
- Mar 18, 2015
- Last updated
- Aug 2, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1464 | MN | |
| Professional Counselor | 101YP2500X | 1106 | MN | |
| Professional Counselor | 101YP2500X | LPC-19464 | AZ | Primary |
Addresses
Primary practice location
600 Twelve Oaks Center Drive
642D
Wayzata, MN 55391-5539
Mailing address
5865 Division St
Excelsior, MN 55331-3251
Phone (952) 746-2522
Other practice location 1
11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801
Phone (952) 746-2522
Other practice location 2
5851 Duluth St
Golden Valley, MN 55422-3946
Phone (612) 202-8703
Other practice location 3
1110 E Missouri Ave Ste 340
Phoenix, AZ 85014-2753
Phone (602) 357-9986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 S Lakeshore Dr
Suite 207
Tempe, AZ 85282-7157
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-19464 | AZ | MD | Professional Counselor |
| 1106 | MN | MD | Marriage & Family Therapist |
| 1464 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Consultant Group LLC | Current | Accepting new patients |
Locations
600 Twelve Oaks Center Dr
Ste 642D
Wayzata, MN 55391
Phone (952) 345-4520
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wayzata, MN
- NPI 1508376807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1588057392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5865 DIVISION ST",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553313251",
"telephone_number": "952-746-2522",
"fax_number": "952-746-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 TWELVE OAKS CENTER DRIVE",
"address_2": "642D",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553915539",
"telephone_number": "952-999-3624"
}
],
"practiceLocations": [
{
"address_1": "11010 Prairie Lakes Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553443801",
"country_code": "US",
"telephone_number": "952-746-2522",
"fax_number": "952-746-0887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5851 Duluth St",
"address_purpose": "LOCATION",
"city": "Golden Valley",
"state": "MN",
"postal_code": "554223946",
"country_code": "US",
"telephone_number": "612-202-8703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 E Missouri Ave Ste 340",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850142753",
"country_code": "US",
"telephone_number": "602-357-9986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEUTEL",
"first_name": "LINDA",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "1464",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "1106",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-19464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayzata, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.