Individual provider Active NPI

Linda Beutel, MA, LPCC

  • Professional Counselor
  • Wayzata, MN
National Provider Identifier
1588057392
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19464 Issued in AZ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003338 AZ Practitioner - Mental Health Counselor 0547708893 Reassigns benefits to 1 organization

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

LicenseStateTypeSpecialty
LPC-19464AZMDProfessional Counselor
1106MNMDMarriage & Family Therapist
1464MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.