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EBEN BLAKE DANIELSON
NPI 1437662970
Counselor - Professional in Moorhead, MN

Active since November 07, 2017PECOS EnrolledAccepts Medicare Assignment
815 37TH AVE S, MOORHEAD, MN 56560(701) 451-4811(651) 925-0057 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2020, Nov 7, 2017 (2 updates tracked since 2017).

About Eben Blake Danielson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBEN BLAKE DANIELSON (NPI 1437662970) is an individual professional provider in Moorhead, Minnesota, licensed in Minnesota (CC01693) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1437662970
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEBEN BLAKE DANIELSON
Location Address815 37TH AVE SMoorhead, MN 56560-5524
Mailing Address1201 25th St SFargo, ND 58103-2311 · (701) 451-4855 · Fax (651) 925-0057
Phone(701) 451-4811
Fax(651) 925-0057
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 7, 2017
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1437662970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · CC01693✔ Licensed in MN · 01905
815 37TH AVE S, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eben Blake Danielson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991142721
PECOS Enrollment IDI20240328000747, I20260203003220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eben Danielson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Village Family Service Center
3.3 mi
Mental Health (Including Community Mental Health Center)
2701 12TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • 33 clinicians in this Medicare group
NPI 1568492353 (701) 451-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONI LEA MEDENWALD MSW, LSW
Social Worker (Clinical)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
CHRISTINA THORSGAARD LMFT
Marriage & Family Therapist
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
JADYN CAMPBELL LAPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
DANIELLE KLAPPER LCAT, LPCC, ATR-BC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
KEIRAN VITEK LICSW
Social Worker (Clinical)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
COURTENAY MIEDEMA LPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
EMILY BOCHMAN LPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
BRITNI KAY LANGEVIN LPCC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eben Danielson's NPI number?

The NPI number for Eben Danielson is 1437662970. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is Eben Danielson located?

Eben Danielson practices at 815 37th Ave S, Moorhead, MN 56560. The listed phone number is (701) 451-4811.

What is Eben Danielson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eben Danielson enrolled in Medicare?

Yes. Eben Danielson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eben Danielson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eben Danielson reassigns Medicare benefits to Village Family Service Center (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eben Danielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eben Danielson accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Eben Danielson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eben Danielson was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.