DOUGLAS PETRIE M.A. L.P.C.C.
NPI 1780087098
Counselor - Mental Health in Richfield, MN
About Douglas Petrie M.a. L.p.c.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS PETRIE M.A. L.P.C.C. (NPI 1780087098) is an individual mental health provider in Richfield, Minnesota, licensed in Minnesota (896) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Petrie M.a. L.p.c.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Douglas Petrie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55114
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Midwest Center For Personal & Family Development, P.A.
- 20 clinicians in this Medicare group
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.
MINNEAPOLIS, MN 55423
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 Douglas Petrie's NPI number?
The NPI number for Douglas Petrie is 1780087098. It was assigned to this individual provider in the NPPES registry on September 30, 2014.
Where is Douglas Petrie located?
Douglas Petrie practices at 2400 W 64th St, Richfield, MN 55423. The listed phone number is (612) 875-5996.
What is Douglas Petrie's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Douglas Petrie enrolled in Medicare?
Yes. Douglas Petrie is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Douglas Petrie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Petrie reassigns Medicare benefits to Midwest Center For Personal & Family Development PA (Saint Paul, MN). The 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 Douglas Petrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Petrie accept?
Health plans from HealthPartners list Douglas Petrie 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 Douglas Petrie was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Douglas Petrie, M.A. L.P.C.C. · NPI 1780087098
Mental Health provider in Richfield, Minnesota. Individual provider, active in the CMS NPPES registry since September 30, 2014.
## Identity
- **NPI:** 1780087098 (Entity type: Individual)
- **Enumerated:** September 30, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 896 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2400 W 64TH ST, Richfield, MN 55423
- **Phone:** (612) 875-5996
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Midwest Center For Personal & Family Development PA (NPI 1285730903, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2018
- **Other identifiers:** Other 896 (MN); Other 896 (MN); Other 896 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780087098) · Data from the CMS NPPES public registry.