Active NPI
Erica Ann Delles, LPCC
- Mental Health Counselor
- Eden Prairie, MN
National Provider Identifier
1639849425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC03405
- Practice address
- 7526 Carnelian LN
Eden Prairie, MN 55346-4343 - Phone
- (612) 888-3461
- NPI assigned
- Sep 14, 2021
- 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 | CC03405 | MN | Primary |
Addresses
Primary practice location
7526 Carnelian LN
Eden Prairie, MN 55346-4343
Mailing address
7526 Carnelian LN
Eden Prairie, MN 55346-4343
Phone (320) 290-3299
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03405 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1639849425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7526 CARNELIAN LN",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553464343",
"telephone_number": "320-290-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7526 CARNELIAN LN",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553464343",
"telephone_number": "612-888-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLES",
"first_name": "ERICA",
"middle_name": "ANN",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC03405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.