Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134766470 Individual Practitioner Female Practitioner

Colleen Crystal Davern , LADC LPCC

Counselor - Professional • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Colleen Davern, LADC LPCC is a registered healthcare professional specializing in Counselor - Professional in Saint Cloud, MN. Practice services are available at 2835 W SAINT GERMAIN ST STE 550 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2835 W Saint Germain St Ste 550

Saint Cloud, MN 563016389

Telephone 3202517700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Saint Cloud, MN (2422 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 1869

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MN 303967

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MN 1869

Definition to come...

Practice Associates & Co-Workers

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

16 Associated Practitioners
Gail Anderson , MA, LP

Counselor - Mental Health

NPI 1114024817

Master of Arts, Licensed Psychologist

NPI 1134219165

Master of Arts, Licensed Psychologist

Tara Prom , LICSW

Social Worker - Clinical

NPI 1205338969

Licensed Independent Clinical Social Worker

NPI 1215154133

Doctor of Education (Ed.D.)

Dr. Rose Stark-Rose , PhD

Psychologist - Counseling

NPI 1295039204

Doctor of Philosophy (Ph.D.)

Michael Dejong , LICSW

Social Worker - Clinical

NPI 1356507578

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address June 07, 2024

Registered at 8852 ARKOLA RD, KELSEY, MN 557248502 (Tel: 2183482998)

📍
Updated Practice Location April 14, 2021

Registered at 2835 W SAINT GERMAIN ST STE 550, SAINT CLOUD, MN 563016389 (Tel: 3202517700)

NPI Profile Active December 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2019

Registered at 5155 MILLER TRUNK HWY, HERMANTOWN, MN 558111203 (Tel: 2183482998)

📍
Updated Business Mailing Address December 05, 2019

Registered at 4810 DODGE ST, DULUTH, MN 558042429 (Tel: 2183482998)

👤
Provider Name / Credentials Updated December 05, 2019

Recorded as COLLEEN DAVERN, LADC LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2019

Counselor (License #303967 in MN)

🟢
Initial NPI Registration & Enumeration December 05, 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: 1134766470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2019
Last Update: June 07, 2024
Sole Proprietor: Yes

Mailing Address

8852 Arkola Rd

Kelsey, MN 557248502

Phone: 2183482998

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.