Individual provider Active NPI

Joseph Daniel Van Dorf, MA, LPCC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1679309603
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4571 Issued in MN
Practice address
2303 Wycliff St Ste 370
Saint Paul, MN 55114-1272
Phone
(612) 416-5595
NPI assigned
Sep 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4571 MN Primary

Addresses

Primary practice location

2303 Wycliff St Ste 370
Saint Paul, MN 55114-1272

Mailing address

2303 Wycliff St Ste 370
Saint Paul, MN 55114-1272
Phone (612) 416-5595

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4571MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Van Dorf Psychotherapy LLC Professional CurrentSince Dec 7, 2025 Accepting new patients

Locations

2303 Wycliff St
Ste 370
Saint Paul, MN 55114
Phone (612) 416-5595

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1679309603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 WYCLIFF ST STE 370",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141272",
            "telephone_number": "612-416-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 WYCLIFF ST STE 370",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141272",
            "telephone_number": "612-416-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DORF",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.