Individual provider Active NPI

Deborah Ann Dobbins

  • Mental Health Counselor
  • Moorhead, MN
National Provider Identifier
1982219390
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
819 30TH Ave S Ste 102
Moorhead, MN 56560-5000
Phone
(218) 979-3560
Fax
(218) 284-1080
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 Primary

Addresses

Primary practice location

819 30TH Ave S Ste 102
Moorhead, MN 56560-5000

Mailing address

819 30TH Ave S Ste 102
Moorhead, MN 56560-5000
Phone (218) 979-3560

Other names 1

  • Deborah Ann Cyr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240129002605 MN Practitioner - Mental Health Counselor 0941653778 Reassigns benefits to 2 organizations
I20251028000966 NE Practitioner - Mental Health Counselor 0941653778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Eclectic Therapy Collective PLLCGroup PAC ID 5698254498, 4 clinicians
Greater Minnesota Community ServicesGroup PAC ID 2365893369, 5 clinicians

Practice addresses (Care Compare)

119 4TH St S
Moorhead, MN 56560-2613
Phone (320) 460-0070

1408 Fort Crook Rd S
Bellevue, NE 68005-3061
Phone (218) 790-6866

819 30TH Ave S
Suite 102
Moorhead, MN 56560-5000
Phone (218) 979-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3558MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Minnesota Community Services CurrentSince Jan 1, 2024 Accepting new patients
Eclectic Therapy Collective PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

819 30th Ave S
Ste 102
Moorhead, MN 56560
Phone (218) 979-3560

119 4th St S
Moorhead, MN 56560
Phone (218) 325-0069

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1982219390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-979-3560",
            "fax_number": "218-284-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-979-3560",
            "fax_number": "218-284-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CYR",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.