Active NPI
Denise Michele Byhre, LICSW, LADC, ADC-MN
- Clinical Social Worker
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13876
- Practice address
- 13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810 - Phone
- (952) 206-2040
- Fax
- (952) 206-2041
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303025 | MN | |
| Clinical Social Worker | 1041C0700X | 13876 | MN | Primary |
Addresses
Primary practice location
13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
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
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13100 Wayzata Blvd
Suite 200
Minnetonka, MN 55305-1810
Phone (952) 206-2040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303025 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Clinical | Current | Accepting new patients |
| Family Support Services Inc. | Past | Accepting new patients |
Locations
6600 France Ave S
Ste 425
Edina, MN 55435
Phone (952) 243-8300
13603 80th Cir N
Maple Grove, MN 55369
Phone (763) 274-3120
1101 E 78th St
Ste 100
Minneapolis, MN 55420
Phone (952) 234-8604
13100 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (952) 206-2040
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600
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.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1821355157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 WAYZATA BLVD STE 200",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051810",
"telephone_number": "952-206-2040",
"fax_number": "952-206-2041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYHRE",
"first_name": "DENISE",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "LICSW, LADC, ADC-MN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303025",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "13876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.