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

Harrison Pack

Individual provider Mental Health Counselor · NPI 1538964382

Harrison Pack is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Regents of the University of Minnesota, a 35-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025
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Practice location Address checks out

2001 Bloomington Ave
Minneapolis, MN 55404-3074
Phone: (612) 301-3433
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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 04786 (MN)

Record details

NPI number1538964382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESDecember 13, 2025
Certification dateDecember 13, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Regents Of The University Of Minnesota — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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