Active NPI
Michaela Jo Oesterlin, LADC, LPCC TRACK
- Professional Counselor
- New Brighton, MN
National Provider Identifier
1649996323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1900 Silver Lake Rd NW
New Brighton, MN 55112-1786 - Phone
- (651) 628-9566
- NPI assigned
- Oct 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 306492 | MN | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Mailing address
3643 Van Buren St NE
Minneapolis, MN 55418-1215
Phone (612) 840-8455
Other practice location 1
2118 Blaisdell Ave
Minneapolis, MN 55404-2415
Phone (612) 235-4677
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop | ||
| CONNECT URL | Desktop |
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 |
|---|---|---|---|
| 306492 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Way House Inc | Past | Accepting new patients | |
| Nuway Mental Health Clinic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Minneapolis, MN
- NPI 1265515639
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1013608405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1649996323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 VAN BUREN ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554181215",
"telephone_number": "612-840-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121786",
"telephone_number": "651-628-9566"
}
],
"practiceLocations": [
{
"address_1": "2118 Blaisdell Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554042415",
"country_code": "US",
"telephone_number": "612-235-4677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OESTERLIN",
"first_name": "MICHAELA",
"middle_name": "JO",
"credential": "LADC, LPCC TRACK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "306492",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktop",
"affiliation": "N",
"address_1": "2118 Blaisdell Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554042415",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "2118 Blaisdell Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554042415",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.