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

Randa Ericson

Individual provider Professional Counselor · NPI 1164238697

Randa Ericson is a Mental Health Counselor in Brainerd, Minnesota. Qualified in 2019, 7 years ago. Practices with Minnesota Teen Challenge, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2024
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Practice location Address checks out

2424 Business 371
Brainerd, MN 56401-8306
Phone: (218) 833-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4731 (MN)

Record details

NPI number1164238697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address2424 Business 371, Brainerd, MN 56401-8306

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Minnesota Teen Challenge, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brainerd