Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth A Douglas, MA, LADC, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336439306

Elizabeth A Douglas, MA, LADC, LPCC is a Mental Health Counselor in Coon Rapids, Minnesota. Qualified in 2016, 10 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638
Phone: (763) 439-4984
Fax: (763) 767-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 — (651) 200-6088
  • 3329 University Ave Se, Minneapolis, MN 55414-3325 — (612) 454-2281

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2409 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302188 (MN)

Record details

NPI number1336439306
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC , LPCC
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 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 Coon Rapids