Individual provider Active NPI

Carol Ann Dobson

  • Marriage & Family Therapist
  • Elk River, MN
National Provider Identifier
1831611979
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
200 5TH St NW Ste E
Elk River, MN 55330-5711
Phone
(507) 456-1349
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

200 5TH St NW Ste E
Elk River, MN 55330-5711

Mailing address

7016 Ximines LN N
Maple Grove, MN 55369-7639
Phone (507) 456-1349

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
I20240111002470 MN Practitioner - Marriage and Family Therapist 6800247024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Counsel PAGroup PAC ID 3971044124, 3 clinicians

Practice addresses (Care Compare)

11292 86TH Ave N
Maple Grove, MN 55369-4510
Phone (952) 300-5908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Circle Counseling, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
4 Counsel, P.a. CurrentSince Jun 12, 2024 Accepting new patients

Locations

200 5th St NW
Ste E
Elk River, MN 55330
Phone (507) 456-1349

11292 86th Ave N
Maple Grove, MN 55369
Phone (952) 300-5908

11292 86th Ave N
Ste 104
Maple Grove, MN 55369

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1831611979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 XIMINES LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697639",
            "telephone_number": "507-456-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST NW STE E",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553305711",
            "telephone_number": "507-456-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.