Organization Active NPI

Bears Counseling PLLC

  • Professional Counselor
  • Eagan, MN
National Provider Identifier
1750143442
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEARS COUNSELING PLLC
Practice address
1581 Lancaster LN
Eagan, MN 55122-2720
Phone
(612) 227-0971
Fax
(651) 391-2072
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Tarah L Groettum, MSED, LPCCNPI 1417699901
Title
Owner/Provider
Phone
(612) 227-0971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1581 Lancaster LN
Eagan, MN 55122-2720

Mailing address

1581 Lancaster LN
Eagan, MN 55122-2720
Phone (612) 227-0971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513003027 MN Part B Supplier - Clinic/Group Practice 9234570961 Receives reassigned benefits from 1 practitioner
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1750143442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 LANCASTER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222720",
            "telephone_number": "612-227-0971",
            "fax_number": "651-391-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 LANCASTER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222720",
            "telephone_number": "612-227-0971",
            "fax_number": "651-391-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "GROETTUM",
        "authorized_official_first_name": "TARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "612-227-0971",
        "authorized_official_credential": "MSED, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.