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

Dietrich Anderson

Individual provider Mental Health Counselor · NPI 1669088738

Dietrich Anderson is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2020, 6 years ago. Practices with Elite Recovery LLC, a 2-clinician group.

Years since qualifying
6
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2118 Blaisdell Ave
Minneapolis, MN 55404-2415
Phone: (612) 235-6413
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1669088738
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2020
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Elite Recovery Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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