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Dane Detert

Counselor - Professional • Bloomington, MN

Active NPI 1750245734 Individual Practitioner Male Practitioner
Practice location in NPPES

1101 E 78th St Ste 100
Bloomington, MN 554201402

Call 9528545034 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1101 E 78th St Ste 100

Bloomington, MN 554201402

Telephone 9528545034

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Minnesota

40 active clinicians are listed under Counselor - Professional with a practice address in Bloomington, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

25% of these 40 clinicians have the CMS telehealth indicator.

37.5% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Jessica Bordenave , PsyD, LP

Psychologist - Clinical

NPI 1023500113

Doctor of Psychology (Psy.D.), Licensed Psychologist

Oby Okoye

Nurse Practitioner - Psychiatric/Mental Health

NPI 1801594734
Sara Robeck , PA-C

Physician Assistant

NPI 1871037978

Physician Assistant (Certified)

Zoua Xiong , PA-C

Physician Assistant

NPI 1700410792

Physician Assistant (Certified)

Career & Practice History

NPI enumerated December 12, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2026 to August 2026.

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NPI Administrative Meta

NPI Number: 1750245734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2025
Last Update: December 12, 2025
Sole Proprietor: No

Mailing Address

1101 E 78th St Ste 100

Bloomington, MN 554201402

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.