Susan Ruth Dietel, MA, LPCC
Counselor, Mental Health in Apple Valley, MN. Individual provider (NPI-1).
NPI number1992364624
StatusActive
Last updated in NPPESJul 26, 2021
Details
- NPI
- 1992364624
- Entity type
- Individual (NPI-1)
- Name
- Susan Ruth Dietel
- Credential
- MA, LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2019
- Certification date
- Jul 26, 2021
- Last updated
- Jul 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
7300 147th St WApple Valley, MN 55124-7541
Phone 952-997-3020
Mailing address
1900 Silver Lake Rd NwNew Brighton, MN 55112-1786
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Mental Health Counselor providers in Apple Valley · All 1,008 providers in Apple Valley
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