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DIETRICH ANDERSON
NPI 1669088738
Counselor - Mental Health in Minneapolis, MN

Active since September 23, 2020PECOS Enrolled
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404(612) 235-6413 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Sep 23, 2020 (2 updates tracked since 2020).

About Dietrich Anderson NPPES

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

DIETRICH ANDERSON (NPI 1669088738) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669088738
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDIETRICH ANDERSON
Location Address2118 BLAISDELL AVEMinneapolis, MN 55404-2415
Mailing Address2118 Blaisdell AveMinneapolis, MN 55404-2415 · (612) 235-6413
Phone(612) 235-6413
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2020
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1669088738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
2118 BLAISDELL AVE, Minneapolis, MN 55404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dietrich Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426547688
PECOS Enrollment IDI20251028003186
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.

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.

KRISTIN JUNTUNEN MA, LADC, LPCC
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4581
HANS HAGGE
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 204-3131
FADUMO ALI
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (763) 742-9250
MISS CALISSA KATHLEEN PLOCHARSKI LADC
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4501
DANIELLE ROSE JOHNSON LPCC, LADC
Counselor (Mental Health)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 964-3728
SIRI TS EIDSMO
Social Worker
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (651) 201-2758
MRS. SHIRLEY R BENSON-ROGERS MS, LADC
Counselor (Professional)
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-6259
MORGAN MURASKI LADC
Counselor (Addiction (Substance Use Disorder))
2118 BLAISDELL AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-4677

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 Dietrich Anderson's NPI number?

The NPI number for Dietrich Anderson is 1669088738. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Dietrich Anderson located?

Dietrich Anderson practices at 2118 Blaisdell Ave, Minneapolis, MN 55404. The listed phone number is (612) 235-6413.

What is Dietrich Anderson's specialty?

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

Is Dietrich Anderson enrolled in Medicare?

Yes. Dietrich Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Dietrich Anderson accept?

Health plans from HealthPartners list Dietrich Anderson 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 Dietrich Anderson was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.