Active NPI
Daniel James Madsen, MA, LPCC
- Mental Health Counselor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2210
- Practice address
- 510 1St Ave N Ste 601
Minneapolis, MN 55403-1697 - Phone
- (612) 367-6929
- NPI assigned
- Feb 28, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2210 | MN | Primary |
Addresses
Primary practice location
510 1St Ave N Ste 601
Minneapolis, MN 55403-1697
Mailing address
860 20TH Ave SE
Minneapolis, MN 55414-2508
Phone (763) 498-3683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2210 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients |
Locations
1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447
2125 E Hennepin Ave
Ste 100
Minneapolis, MN 55413
Phone (612) 217-2055
6040 Earle Brown Dr
Ste 100
Minneapolis, MN 55430
Phone (612) 470-4576
1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080
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.
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- New Brighton, MN
- NPI 1396750188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1003400219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 20TH AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142508",
"telephone_number": "763-498-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 1ST AVE N STE 601",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554031697",
"telephone_number": "612-367-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "DANIEL",
"middle_name": "JAMES",
"credential": "MA, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-28",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.