Individual provider Active NPI

Danielle Kay Metteer, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Bemidji, MN
National Provider Identifier
1700505484
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
305702 Issued in MN
Practice address
4851 Stacy Ann Dr NW
Bemidji, MN 56601-0009
Phone
(218) 308-8600
Fax
(218) 308-6438
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305702 MN Primary

Addresses

Primary practice location

4851 Stacy Ann Dr NW
Bemidji, MN 56601-0009

Mailing address

22031 320TH St
Sebeka, MN 56477-2376
Phone (701) 368-9613

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

LicenseStateTypeSpecialty
305702MNMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1700505484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22031 320TH ST",
            "city": "SEBEKA",
            "state": "MN",
            "postal_code": "564772376",
            "telephone_number": "701-368-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 STACY ANN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566010009",
            "telephone_number": "218-308-8600",
            "fax_number": "218-308-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTEER",
        "first_name": "DANIELLE",
        "middle_name": "KAY",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.