Active NPI
Catherine Bottin, LPCC
- Professional Counselor
- Woodbury, MN
National Provider Identifier
1932857216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3201
- Practice address
- 6063 Hudson Rd Ste 200
Woodbury, MN 55125-4455 - Phone
- (952) 460-9041
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 3201 | MN | Primary |
Addresses
Primary practice location
6063 Hudson Rd Ste 200
Woodbury, MN 55125-4455
Mailing address
6063 Hudson Rd Ste 200
Woodbury, MN 55125-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
760 Stillwater Rd
Suite 101
Mahtomedi, MN 55115-2060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1932857216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6063 HUDSON RD STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6063 HUDSON RD STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254455",
"telephone_number": "952-460-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTIN",
"first_name": "CATHERINE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "3201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.