COLLABORATIVE COUNSELING LLC
NPI 1598034324
Counselor - Mental Health in Maple Grove, MN

Active since December 22, 2011
12918 63RD AVE N, MAPLE GROVE, MN 55369(763) 210-9966 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2023, Sep 28, 2016 (2 updates tracked since 2016).

About Collaborative Counseling Llc NPPES

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

COLLABORATIVE COUNSELING LLC (NPI 1598034324) is a healthcare organization registered as a mental health in Maple Grove, Minnesota and active in the NPI registry since December 2011. The organization lists Naomi Doriott Larson, Owner And Therapist, as its authorized official.

NPPES Registry Identity

NPI1598034324
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOLLABORATIVE COUNSELING LLC
Location Address12918 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12918 63rd Ave NMaple Grove, MN 55369-6001 · (763) 210-9966
Organization SubpartNo
Authorized OfficialNaomi Doriott LarsonOwner And Therapist · (763) 210-9966
Enumeration DateDecember 22, 2011
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1598034324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 1064
12918 63RD AVE N, Maple Grove, MN 55369

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)

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

Clinicians Billing Medicare Through This Organization

70

Medicare enrollment records show 70 clinicians reassign Medicare billing to Collaborative Counseling LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor38
Clinical Social Worker23
Marriage and Family Therapist8
Clinical Psychologist1

Nearest to this location (20)

See all 70
Clinical Social Worker
NPI 1821566498
12918 63RD AVE N
Maple Grove, MN 55369
(763) 219-9966
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1982427191
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9983
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1639573942
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1164039905
12918 63RD AVE N
Maple Grove, MN 55369
(651) 238-1855
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1609005636
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOSSame address
Mental Health Counselor
NPI 1710435623
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOSSame address
Mental Health Counselor
NPI 1033849591
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOSSame address
Mental Health Counselor
NPI 1730602442
12918 63RD AVE N
Maple Grove, MN 55369
(612) 643-0236
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1659899904
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1982251922
12918 63RD AVE N
Maple Grove, MN 55369
(763) 210-9966
✔ PECOSSame address
Mental Health Counselor
NPI 1093138331
12915 63RD AVE. N.
Maple Grove, MN 55369
(952) 826-8412
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1346979408
5410 TEAKWOOD LN N
Plymouth, MN 55442
(612) 702-9672
✔ PECOS1.3 mi
Marriage and Family Therapist
NPI 1730585852
7372 KIRKWOOD CT N SUITE B
Maple Grove, MN 55369
(612) 709-6059
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1770990418
5555 BOONE AVE N
New Hope, MN 55428
(651) 774-0011
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1447912316
4100 BERKSHIRE LN N
Plymouth, MN 55446
(763) 203-9568
✔ PECOS2.8 mi
Mental Health Counselor
NPI 1689421836
11334 86TH AVE N
Maple Grove, MN 55369
(763) 255-2125
✔ PECOS✔ Accepts Medicare2.9 mi
Marriage and Family Therapist
NPI 1811148554
11505 36TH AVE N
Plymouth, MN 55441
(763) 509-3800
✔ PECOS✔ Accepts Medicare3.5 mi
Mental Health Counselor
NPI 1386997153
7000 57TH AVE N STE 100
Crystal, MN 55428
(612) 752-8340
✔ PECOS✔ Accepts Medicare3.8 mi
Mental Health Counselor
NPI 1447990775
7601 WAYZATA BLVD
St Louis Park, MN 55426
(612) 223-8898
✔ PECOS7.6 mi
Mental Health Counselor
NPI 1255055463
5891 CEDAR LAKE RD S
St Louis Park, MN 55416
(612) 269-1036
✔ PECOS8.4 mi
See all 70 clinicians

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 Collaborative Counseling LLC's NPI number?

The NPI number for Collaborative Counseling LLC is 1598034324. It was assigned to this organization in the NPPES registry on December 22, 2011.

Where is Collaborative Counseling LLC located?

Collaborative Counseling LLC is located at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 210-9966.

What is Collaborative Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Collaborative Counseling LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Collaborative Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 4 Medicare specialties reassign their Medicare billing to Collaborative 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. The largest specialties are Mental Health Counselor (38), Clinical Social Worker (23) and Marriage and Family Therapist (8). Of these, 10 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Collaborative Counseling LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Collaborative 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 Collaborative Counseling LLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.