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LARA DERKSEN MA
NPI 1467204305
Counselor in Bloomington, MN

Active since April 03, 2024
3800 AMERICAN BLVD W STE 740, BLOOMINGTON, MN 55431(612) 925-8365 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lara Derksen Ma NPPES

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

LARA DERKSEN MA (NPI 1467204305) is an individual counselor in Bloomington, Minnesota and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1467204305
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLARA DERKSENCredential: MA
Location Address3800 AMERICAN BLVD W STE 740Bloomington, MN 55431-4422
Mailing Address3800 American Blvd W Ste 740Bloomington, MN 55431-4422
Phone(612) 925-8365
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1467204305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedBehavior TechnicianTaxonomy 106S00000X
3800 AMERICAN BLVD W STE 740, Bloomington, MN 55431
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Other Names 1

Former Name (1)Lara Elvehjem Ba

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.

KATHLEEN BURKLUND
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 865-9625
ISABELLA GABRIEL
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365
KAYLA HEWITT
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365
GRACIE MAE MICKSCHL
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365
ORION MORELAND
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365
ANNABEL PAUTSCH
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365
KADENCE ALYSSA LIESER
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (402) 580-7910
OLIVIA FEIST
Behavior Technician
3800 AMERICAN BLVD W STE 740
BLOOMINGTON, MN 55431
Hennepin County (612) 925-8365

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 Lara Derksen's NPI number?

The NPI number for Lara Derksen is 1467204305. It was assigned to this individual provider in the NPPES registry on April 3, 2024. The provider is also known as Lara Elvehjem Ba.

Where is Lara Derksen located?

Lara Derksen practices at 3800 American Blvd W Ste 740, Bloomington, MN 55431. The listed phone number is (612) 925-8365.

What is Lara Derksen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lara Derksen was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.