Individual provider Active NPI

Dana Marie Andersen

  • Professional Counselor
  • Chisago City, MN
National Provider Identifier
1982482436
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1945 Issued in MN
Practice address
26190 Lofton Ave
Chisago City, MN 55013-7417
Phone
(612) 412-0453
NPI assigned
Sep 18, 2023
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1945 MN Primary

Addresses

Primary practice location

26190 Lofton Ave
Chisago City, MN 55013-7417

Mailing address

26190 Lofton Ave
Chisago City, MN 55013-7417
Phone (612) 412-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AZ2 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
I20251223001889 MN Practitioner - Mental Health Counselor 3173018553 Reassigns benefits to 2 organizations
I20251226000365 AZ Practitioner - Mental Health Counselor 3173018553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

7041 20TH Ave
Centerville, MN 55038-9737
Phone (651) 407-3631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1945MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Nov 11, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Nov 11, 2025 Accepting new patients
Family Innovations, Inc. Professional CurrentSince Jan 7, 2026 Accepting new patients
West Central Counseling LLC Mental Health PastSince Jun 6, 2021 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

7041 20th Ave
Hugo, MN 55038
Phone (651) 407-3631

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1982482436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26190 LOFTON AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550137417",
            "telephone_number": "612-412-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26190 LOFTON AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550137417",
            "telephone_number": "612-412-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chisago City, MN

Sources for this page

Verify at the official NPI Registry.