Individual provider Active NPI

Rachel Elizabeth Herr, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1952995003
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02725 Issued in MN
Practice address
3802 Grand Ave S # a
Minneapolis, MN 55409-1233
Phone
(612) 369-0769
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02725 MN Primary

Addresses

Primary practice location

3802 Grand Ave S # a
Minneapolis, MN 55409-1233

Mailing address

5356 Emerson Ave S
Minneapolis, MN 55419-1113
Phone (612) 369-0769

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
I20250131002393 MN Practitioner - Mental Health Counselor 3577092592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bold North Psychotherapy, PLLCGroup PAC ID 4486183498, 2 clinicians

Practice addresses (Care Compare)

5200 Willson Rd
Suite 215
Edina, MN 55424-1316
Phone (612) 524-9480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02725MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bold North Psychotherapy, PLLC Mental Health CurrentSince Jan 5, 2023 Accepting new patients

Locations

5200 Willson Rd
Ste 215
Minneapolis, MN 55424
Phone (612) 234-7891

4313 Upton Ave S
#5
Minneapolis, MN 55410
Phone (612) 524-9480

Organizations & group practices 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1952995003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 EMERSON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191113",
            "telephone_number": "612-369-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 GRAND AVE S # A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091233",
            "telephone_number": "612-369-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.