Healthcare Provider Details

I. General information

NPI: 1033044995
Provider Name (Legal Business Name): CARYN ELIZABETH BITTINGER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 LIVINGSTON AVE STE 200
WEST ST PAUL MN
55118-3426
US

IV. Provider business mailing address

1880 LIVINGSTON AVE STE 200
WEST ST PAUL MN
55118-3426
US

V. Phone/Fax

Practice location:
  • Phone: 612-695-9384
  • Fax:
Mailing address:
  • Phone: 612-695-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC05633
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: