Individual provider Active NPI

Daniel Verbout, MA, LPCC

  • Professional Counselor
  • Saint Louis Park, MN
National Provider Identifier
1760625321
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00092 Issued in MN
Practice address
5821 Cedar Lake Rd S Ste 3
Saint Louis Park, MN 55416-1487
Phone
(612) 242-8310
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00092 MN Primary

Addresses

Primary practice location

5821 Cedar Lake Rd S Ste 3
Saint Louis Park, MN 55416-1487

Mailing address

5821 Cedar Lake Rd S Ste 3
Saint Louis Park, MN 55416-1487
Phone (612) 242-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 7, 2024 through Aug 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00092MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innerstrength Therapy Services PastSince Mar 11, 2025 Accepting new patients

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1760625321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE 3",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "612-242-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE 3",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "612-242-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBOUT",
        "first_name": "DANIEL",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

Verify at the official NPI Registry.