Active NPI
Caleb Buttenhoff
- Professional Counselor
- Maplewood, MN
National Provider Identifier
1801610548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC04671
- Practice address
- 2115 County Road D E Ste C
Maplewood, MN 55109-5353 - Phone
- (612) 466-0747
- NPI assigned
- Nov 11, 2024
- Last updated
- Mar 18, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC04671 | MN | Primary |
Addresses
Primary practice location
2115 County Road D E Ste C
Maplewood, MN 55109-5353
Mailing address
2115 County Road D E Ste C
Maplewood, MN 55109-5353
Phone (612) 466-0747
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
516 S Pokegama Ave
Grand Rapids, MN 55744-3820
915 E 1St St
Duluth, MN 55805-2107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC04671 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1801610548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 COUNTY ROAD D E STE C",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095353",
"telephone_number": "612-466-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 COUNTY ROAD D E STE C",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095353",
"telephone_number": "612-466-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTENHOFF",
"first_name": "CALEB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-11",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC04671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.