Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany R Dillon, MA, LPCC, CCTP

Individual provider Mental Health Counselor · NPI 1164039905

Bethany R Dillon, MA, LPCC, CCTP is a Mental Health Counselor in Maple Grove, Minnesota. Qualified in 2015, 11 years ago. Practices with Collaborative Counseling LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

12918 63rd Ave N
Maple Grove, MN 55369-6001
Phone: (651) 238-1855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC01872 (MN)

Record details

NPI number1164039905
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , CCTP
Sole proprietorYes
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Collaborative Counseling Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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