Individual provider Active NPI

Steven C Witmer, LPCC

  • Professional Counselor
  • Chanhassen, MN
National Provider Identifier
1720461668
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01973 Issued in MN
Practice address
Northstar Regional Counseling
7945 Stone Creek Drive Suite 140
Chanhassen, MN 55317
Phone
(952) 974-3999
Fax
(320) 286-2875
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 01682 MN
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X CC01973 MN Primary

Addresses

Primary practice location

Northstar Regional Counseling
7945 Stone Creek Drive Suite 140
Chanhassen, MN 55317

Mailing address

Northstar Regional Counseling
7945 Stone Creek Drive Suite 140
Chanhassen, MN 55317
Phone (952) 974-3999

Other practice location 1

117 Downtown Plz
Fairmont, MN 56031-1726
Phone (507) 399-2149 ext. 8

Other practice location 2

13637 60th St SW
Cokato, MN 55321-4210
Phone (320) 286-2922

Other practice location 3

Northstar Regional Counseling
7945 Stone Creek Drive Suite 140
Chanhassen, MN 55317
Phone (952) 974-3999

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
I20240704000515 MN Practitioner - Mental Health Counselor 7315481041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eunoia Family Resource Center PAGroup PAC ID 7214003680, 10 clinicians

Practice addresses (Care Compare)

1420 N State St
Fairmont, MN 56031-3619
Phone (507) 235-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01682MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eunoia Family Resource Center PA CurrentSince Jul 15, 2024 Accepting new patients

Locations

1420 N State St
Fairmont, MN 56031
Phone (507) 235-6070

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1720461668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHSTAR REGIONAL COUNSELING",
            "address_2": "7945 STONE CREEK DRIVE SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-974-3999",
            "fax_number": "320-286-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHSTAR REGIONAL COUNSELING",
            "address_2": "7945 STONE CREEK DRIVE SUITE 140",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-974-3999",
            "fax_number": "320-286-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Downtown Plz",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560311726",
            "country_code": "US",
            "telephone_number": "507-399-2149 x8",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13637 60th St SW",
            "address_purpose": "LOCATION",
            "city": "Cokato",
            "state": "MN",
            "postal_code": "553214210",
            "country_code": "US",
            "telephone_number": "320-286-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Northstar Regional Counseling",
            "address_2": "7945 Stone Creek Drive Suite 140",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "55317",
            "country_code": "US",
            "telephone_number": "952-974-3999",
            "fax_number": "320-286-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITMER",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01682",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.