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

Mikki K Mason, LMFT, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003578758

Mikki K Mason, LMFT, LADC is a Mental Health Counselor in Otsego, Minnesota. Qualified in 2018, 8 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone: (763) 308-8619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 4150 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304777 (MN)

Record details

NPI number1003578758
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT , LADC
Sole proprietorYes
NPI enumeratedOctober 11, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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