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COURTNEY VAN DEN BUSSCHE-DOLL LPCC
NPI 1699246983
Counselor - Professional in Detroit Lakes, MN

Active since December 11, 2018PECOS EnrolledAccepts Medicare Assignment
1041 HAWK ST, DETROIT LAKES, MN 56501(218) 844-6853(218) 844-6854 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2020, Dec 11, 2018 (2 updates tracked since 2018).

About Courtney Van Den Bussche-doll Lpcc NPPES

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

COURTNEY VAN DEN BUSSCHE-DOLL LPCC (NPI 1699246983) is an individual professional provider in Detroit Lakes, Minnesota, licensed in Minnesota (CC02001) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699246983
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOURTNEY VAN DEN BUSSCHE-DOLLCredential: LPCC
Location Address1041 HAWK STDetroit Lakes, MN 56501-6958
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338 · Fax (218) 287-5928
Phone(218) 844-6853
Fax(218) 844-6854
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 11, 2018
Last NPPES UpdateOctober 27, 20212 updates tracked since enumeration
NPPES CertifiedOctober 27, 2021
✔ NPI 1699246983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02001
1041 HAWK ST, Detroit Lakes, MN 56501
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Accepted Insurance

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

Courtney Van Den Bussche-doll Lpcc 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 ID9537604087
PECOS Enrollment IDI20240709003904
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 Reassignments

2

Medicare enrollment records show Courtney Van Den Bussche-doll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shari Phillips LLC
43 mi
Mental Health
116 ASH AVE NW, SUITE 2
Wadena, MN 56482
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1023691896 (218) 640-7368
Naturally Connected Counseling LLC
129 mi
Adult Mental Health
425 10TH ST NE STE 1
Milaca, MN 56353
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1245960442 (320) 402-0115

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.

KAILEE LEFEBVRE
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
MARGARET SKOGMO
Behavior Analyst
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
HANNAH KELLY
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
RACHEL HAUKE
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 844-6853
TRU BLAKE
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
SWARADA PATHAK
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
KRISTA TEMPLE
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338
KAYLA KOLLAR-BURKHOLDER
Specialist
1041 HAWK ST
DETROIT LAKES, MN 56501
Becker County (218) 287-4338

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 Courtney Van Den Bussche-doll's NPI number?

The NPI number for Courtney Van Den Bussche-doll is 1699246983. It was assigned to this individual provider in the NPPES registry on December 11, 2018.

Where is Courtney Van Den Bussche-doll located?

Courtney Van Den Bussche-doll practices at 1041 Hawk St, Detroit Lakes, MN 56501. The listed phone number is (218) 844-6853.

What is Courtney Van Den Bussche-doll's specialty?

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

Is Courtney Van Den Bussche-doll enrolled in Medicare?

Yes. Courtney Van Den Bussche-doll 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 organizations bill Medicare for Courtney Van Den Bussche-doll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Van Den Bussche-doll reassigns Medicare benefits to 2 organizations: Shari Phillips LLC (Wadena, MN) and Naturally Connected Counseling LLC (Milaca, MN). Each 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 Courtney Van Den Bussche-doll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Van Den Bussche-doll accept?

Health plans from HealthPartners and Sanford Health Plan list Courtney Van Den Bussche-doll 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 Courtney Van Den Bussche-doll was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.