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

Charell Dutton

Individual provider Professional Counselor · NPI 1063079762

Charell Dutton is a Mental Health Counselor in Minnetonka, Minnesota. Qualified in 2014, 12 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2019
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Practice location Address checks out

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810
Phone: (952) 206-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 540 E 1st St, Waconia, MN 55387-1600 — (952) 442-4437

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2117 (MN)

Record details

NPI number1063079762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESFebruary 8, 2022
Certification dateJanuary 18, 2022
Mailing address540 E 1st St, Waconia, MN 55387-1600

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Minnetonka