Active NPI
Richard Norris, MS, LPCC
- Mental Health Counselor
- Duluth, MN
National Provider Identifier
1760195903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC03647
- Practice address
- 5032 Glendale St
Duluth, MN 55804-1105 - Phone
- (320) 894-0598
- NPI assigned
- Jan 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC03647 | MN | |
| Mental Health Counselor | 101YM0800X | CC03647 | MN | Primary |
Addresses
Primary practice location
5032 Glendale St
Duluth, MN 55804-1105
Mailing address
5032 Glendale St
Duluth, MN 55804-1105
Phone (320) 894-0598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC03647 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 E Superior St
Suite 415
Duluth, MN 55802-3008
Phone (218) 393-5407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03647 | MN | MD | Mental Health Counselor |
| 3647 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norris Therapy LLC | Mental Health | Current | Accepting new patients |
| Duluth Counseling Center | Current | Accepting new patients |
Locations
11 E Superior St
Ste 415
Duluth, MN 55802
Phone (218) 249-0595
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Duluth, MN
- NPI 1679815823
-
- Mental Health Counselor
- Duluth, MN
- NPI 1457223083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1760195903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5032 GLENDALE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041105",
"telephone_number": "320-894-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5032 GLENDALE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041105",
"telephone_number": "320-894-0598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "RICHARD",
"credential": "MS, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03647",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC03647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CC03647",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.