Individual provider Active NPI

Rindie Eagle, MA, LPCC

  • Mental Health Counselor
  • Rogers, MN
National Provider Identifier
1720329980
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1167 Issued in MN
Practice address
21395 John Milless Dr Ste 400
Rogers, MN 55374-4407
Phone
(763) 424-1888
NPI assigned
Mar 12, 2013
Last updated
Sep 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1167 MN
Professional Counselor 101YP2500X 1167 MN
Mental Health Counselor 101YM0800X 1167 MN Primary

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 names 1

  • Rindie Cohoon Former name

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
I20241120000931 MN Practitioner - Mental Health Counselor 7517492176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1167MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwinds Counseling Services, P.a. CurrentSince Oct 1, 2024 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1720329980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18846 SMITH DR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553307510",
            "telephone_number": "763-370-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR STE 400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744407",
            "telephone_number": "763-424-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18846 Smith Dr NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553307510",
            "country_code": "US",
            "telephone_number": "763-370-5014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Quaday Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Otsego",
            "state": "MN",
            "postal_code": "553306604",
            "country_code": "US",
            "telephone_number": "763-309-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "RINDIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "1167",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1167",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINDIE",
            "last_name": "COHOON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.