Eve-Lynn R Fellersen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

104 W Superior St Ste 200
Duluth, MN 55802-3000

Phone

(218) 727-7353

Fax

(218) 727-2646

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Two Rivers Counseling LLCGroup PAC ID 7416322268, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Two Rivers Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1093486722
  Medicare reassignment Care Compare group NPD Authorized official
• The Institute for Psychological & Sexual Health, Inc.

  • Psychologist
  • Duluth, MN
  • NPI 1588794515
  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1740744853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SUPERIOR ST STE 200",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558023000",
            "telephone_number": "218-727-7353",
            "fax_number": "218-727-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLERSEN",
        "first_name": "EVE-LYNN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ann Feldbrugge, PA-C
• Laura Jean Feldhake, AU.D.
• Harmony Feldman McCullough, LICSW
• Katie Feldt, OT
• Taylor E Fellbaum-Wright, MS, LPCC
• Timothy Lyle Fellman, APRN, CNP
• Jeffrey Felt, MD
• Danyelle R Fenner, MD
• Grace Mae Fenske, DPT
• Ana Margarita Fernandez-Pokorny

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.