Rindie Eagle, MA, LPCC
Individual provider Active NPI Mental Health Counselor · Rogers, MN
NPI 1720329980 · NPPES record last updated Sep 18, 2022
Key facts
- NPI
- 1720329980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1167 (MN)
- Practice address
- 21395 John Milless Dr Ste 400
Rogers, MN 55374-4407 - Phone
- (763) 424-1888
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120000931 | MN | Practitioner - Mental Health Counselor | 7517492176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwinds Counseling Services, P.a. | Current |
Accepting new patients | |
| Encouraging Results Counseling, P.C. | Counselor | Past | Accepting new patients |
Locations
21395 John Milless Dr
Ste 400
Rogers, MN 55374
Phone (763) 424-1688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1167 | MN | |
| Professional Counselor | 101YP2500X | 1167 | MN | |
| Mental Health Counselor | 101YM0800X | 1167 | MN | Yes |
Addresses
Primary practice location
21395 John Milless Dr Ste 400
Rogers, MN 55374-4407
Mailing address
18846 Smith Dr NW
Elk River, MN 55330-7510
Phone (763) 370-5014
Other practice location 1
18846 Smith Dr NW
Elk River, MN 55330-7510
Phone (763) 370-5014
Other practice location 2
9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604
Phone (763) 309-1005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167 | Other | MN | BOARD OF BEHAVIORAL HEALTH AND THERAPY - LPCC |
Other names
- Rindie Cohoon
Other providers in Rogers, MN
- Dialogues, Inc.
- Susan Joy Dill
- Amanda Mary Anna Dinegan
- Brittany Dohmen
- Erin M Dunphy
- Edima Corporation
- Shelly L Edwards
- El Homes and Services LLP
- Elation Home Care LLC
- Bonnie Kay Ellingboe
All providers in Rogers, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.