Individual provider Active NPI

Ha Phuong Ngoc Dufek, LPCC, LADC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1821611039
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3437 Issued in MN
Practice address
7601 Wayzata Blvd
Minneapolis, MN 55426-1626
Phone
(612) 223-8898
Fax
(612) 223-8899
NPI assigned
May 21, 2020
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 3437 MN Primary

Addresses

Primary practice location

7601 Wayzata Blvd
Minneapolis, MN 55426-1626

Mailing address

712 68TH LN N
Brooklyn Center, MN 55430-2842
Phone (763) 464-7898

Other names 1

  • Hannah Phuong Ngoc Dufek Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115000049 MN Practitioner - Mental Health Counselor 1254783384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4100 Berkshire LN N
Suite 250
Plymouth, MN 55446-3813
Phone (612) 223-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado PC CurrentSince Oct 25, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Oct 25, 2024 Accepting new patients
Care Clinics, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

7400 W 109th St
Bloomington, MN 55438
Phone (952) 886-3268

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

8980 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 501-1467

501 N Riverfront Dr
Mankato, MN 56001
Phone (612) 223-8988

11671 Fountains Dr N
Ste 200
Maple Grove, MN 55369
Phone (763) 585-0600

204 W Franklin Ave
Minneapolis, MN 55404
Phone (612) 227-2085

310 Clifton Ave
Minneapolis, MN 55403
Phone (612) 284-2870

3601 Minnesota Dr
Ste 575
Minneapolis, MN 55435
Phone (612) 799-8975

4100 Berkshire Ln N
#250
Plymouth, MN 55446

4100 Berkshire Ln N
Ste 250
Plymouth, MN 55446

1155 Northland Dr
Saint Paul, MN 55120
Phone (612) 223-8899

7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1821611039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 68TH LN N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302842",
            "telephone_number": "763-464-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 WAYZATA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261626",
            "telephone_number": "612-223-8898",
            "fax_number": "612-223-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFEK",
        "first_name": "HA",
        "middle_name": "PHUONG NGOC",
        "credential": "LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "DUFEK",
            "middle_name": "PHUONG NGOC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.