Active NPI
Joseph P. Sundeen
- Counseling Psychologist
- Roseville, MN
National Provider Identifier
1003081779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP5226
- Practice address
- 1935 County Road B2 W Ste 160
Roseville, MN 55113-2782 - Phone
- (651) 330-0144
- NPI assigned
- Apr 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP5226 | MN | Primary |
Addresses
Primary practice location
1935 County Road B2 W Ste 160
Roseville, MN 55113-2782
Mailing address
1935 County Road B2 W Ste 160
Roseville, MN 55113-2782
Phone (651) 330-0144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5226 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Familia Guidance Center | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Saint Paul, MN
- NPI 1366501314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1003081779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 COUNTY ROAD B2 W STE 160",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132782",
"telephone_number": "651-330-0144",
"fax_number": "651-330-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 COUNTY ROAD B2 W STE 160",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132782",
"telephone_number": "651-330-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDEEN",
"first_name": "JOSEPH",
"middle_name": "P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-24",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP5226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.