Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carrie Renee Niles, MA

Individual provider Mental Health Counselor · NPI 1700350006

Carrie Renee Niles, MA is a Mental Health Counselor in Roseville, Minnesota. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
9
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1711 County Road B W
Roseville, MN 55113-4057
Phone: (651) 982-4792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1068 Lake St S, Forest Lake, MN 55025-2639 — (651) 362-2008

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1700350006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedJanuary 20, 2019
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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