Rie Anderson
Individual provider Active NPI Professional Counselor · New Brighton, MN
NPI 1730531237 · NPPES record last updated Mar 23, 2017
Key facts
- NPI
- 1730531237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 01421 (MN)
- Practice address
- 1900 Silver Lake Rd NW
New Brighton, MN 55112-1786 - Phone
- (651) 628-9566
- Fax
- (651) 628-0411
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates LTD
Practice addresses (Care Compare)
1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
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 |
|---|---|---|---|---|
| I20240228000109 | MN | Practitioner - Mental Health Counselor | 5698110807 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01421 | MN | MD | Professional Counselor |
| 1421 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current |
Accepting new patients | |
| Family Support Services Inc. | Current |
Accepting new patients |
Locations
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01421 | MN | Yes |
Addresses
Primary practice location
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Mailing address
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Other providers in New Brighton, MN
- Jordan Nicholas Anderson
- Jovanna Anderson
- Kimberly Anderson
- Leah Marie Anderson
- Mark Eric Anderson
- Sarah Mae Anikpo
- Kristin Marie Antil
- Apex Care Center LLC
- Apple Home Health Care Agency Corp
- Apple Tree Dental
All providers in New Brighton, MN · Professional 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 Mar 23, 2017. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.