Individual provider Active NPI

Rachel Marie Mueller, LPCC

  • Professional Counselor
  • Duluth, MN
National Provider Identifier
1699119271
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00566 Issued in MN
Practice address
332 W Superior St
Suite 300
Duluth, MN 55802-1808
Phone
(218) 722-4379
Fax
(218) 722-4333
NPI assigned
Apr 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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 CC00566 MN Primary

Addresses

Primary practice location

332 W Superior St
Suite 300
Duluth, MN 55802-1808

Mailing address

1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1786
Phone (651) 379-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240808001938 MN Practitioner - Mental Health Counselor 5890232797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
HP Psychological Associates PCGroup PAC ID 1951658152, 9 clinicians

Practice addresses (Care Compare)

4135 Richard Ave
Suite 201
Hermantown, MN 55811-2979
Phone (218) 464-0908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC00566MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Quality Psychiatry PLLC CurrentSince Jul 1, 2024 Accepting new patients
HP Psychological Associates, PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

4135 Richard Ave
Ste 201
Hermantown, MN 55811
Phone (218) 464-0908

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.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1699119271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "address_2": "SUITE 110",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786",
            "telephone_number": "651-379-1718",
            "fax_number": "651-379-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SUPERIOR ST",
            "address_2": "SUITE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021808",
            "telephone_number": "218-722-4379",
            "fax_number": "218-722-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.