Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063079762 Individual Practitioner Female Practitioner

Charell Dutton

Counselor - Professional • Minnetonka, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Charell Dutton is a certified Counselor - Professional practicing in Minnetonka, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Charell Dutton delivers high-quality medical care to the local community at 13100 WAYZATA BLVD STE 200.

Charell Dutton is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

13100 Wayzata Blvd Ste 200

Minnetonka, MN 553051810

Telephone 9522062040
Associated Practice Facility / Clinic
🏢 Carver County Facility NPI 1326049685

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Minnetonka, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +2.8 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
67 Specialists

Practicing in Minnetonka, MN (2422 Statewide)

Telehealth Adoption Rate
9.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dutton (12 Years) 12 Yrs
Minnetonka Specialty Average (9.2 Years) 9.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 2117

Definition to come...

Hospital & Practice Group Affiliations

Nystrom And Associates Ltd

5700 Bottineau Blvd, Crystal, MN 554293184

Phone: 7633302774

Secondary Practice Locations

540 E 1st St

Waconia, MN 553871600

Phone: 9524424437

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacey Tupa

Marriage & Family Therapist

NPI 1043007099
Gage O'neal

Social Worker - Clinical

NPI 1053193342
Colleen Longhenry

Counselor - Addiction (Substance Use Disorder)

NPI 1093353641
Audrey Cohen , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1104476290

Licensed Alcohol and Drug Counselor

Cara Coro , MSW, LGSW

Counselor - Mental Health

NPI 1174004063

Master of Social Work, LGSW

Zoe Bernard

Counselor - Mental Health

NPI 1245117100

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 08, 2022

Registered at 13100 WAYZATA BLVD STE 200, MINNETONKA, MN 553051810 (Tel: 9522062040)

NPI Profile Active May 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2019

Registered at 540 E 1ST ST, WACONIA, MN 553871600 (Tel: 9524424437)

📍
Updated Business Mailing Address May 29, 2019

Registered at 540 E 1ST ST, WACONIA, MN 553871600 (Tel: 9524424437)

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as CHARELL DUTTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Counselor (License #2117 in MN)

🟢
Initial NPI Registration & Enumeration May 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063079762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2019
Last Update: February 08, 2022
Sole Proprietor: No

Mailing Address

540 E 1st St

Waconia, MN 553871600

Phone: 9524424437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.