Eclectic Therapy Collective PLLC
NPI 1366322000ActiveOrganization· Counselor, Professional· Moorhead, MN
Counselor, Professional in Moorhead, Minnesota, registered in NPPES in September 2025. The authorized official on file is Sarah Connell, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366322000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2025 |
| Last updated in NPPES | Mar 31, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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