FIRESIDE COUNSELING LLC
NPI 1447524285
Psychologist in Waconia, MN

Active since February 24, 2012
9352 OAK AVE, WACONIA, MN 55387(952) 373-1279(844) 762-3234 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fireside Counseling Llc NPPES

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

FIRESIDE COUNSELING LLC (NPI 1447524285) is a healthcare organization registered as a psychologist in Waconia, Minnesota and active in the NPI registry since February 2012. The organization lists Gary Joseph Freitas, Owner, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447524285
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameFIRESIDE COUNSELING LLC
Location Address9352 OAK AVEWaconia, MN 55387-9422
Mailing Address9352 Oak AveWaconia, MN 55387-9422 · (952) 270-2086
Fax(844) 762-3234
Organization SubpartNo
Authorized OfficialGary Joseph FreitasOwner, Licensed Psychologist · (952) 373-1279
Enumeration DateFebruary 24, 2012
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1447524285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP 4675
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9352 OAK AVE, Waconia, MN 55387

Other Identifiers 1

Other680002139Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fireside Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fireside Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1679598072
7945 STONE CREEK DR SUITE 140
Chanhassen, MN 55317
(952) 974-3999
✔ PECOS12 mi

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

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 Fireside Counseling LLC's NPI number?

The NPI number for Fireside Counseling LLC is 1447524285. It was assigned to this organization in the NPPES registry on February 24, 2012.

Where is Fireside Counseling LLC located?

Fireside Counseling LLC is located at 9352 Oak Ave, Waconia, MN 55387. The listed phone number is (952) 373-1279.

What is Fireside Counseling LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Fireside Counseling LLC enrolled in Medicare?

Yes. Fireside Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fireside Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Fireside Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fireside Counseling LLC accept?

Health plans from HealthPartners list Fireside Counseling LLC 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 Fireside Counseling LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.