Individual provider Active NPI

Scott Daniel Zien-Edgar, M.A, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1023443819
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01455 Issued in MN
Practice address
310 E 38TH St # 322
Minneapolis, MN 55409-1300
Phone
(612) 824-0415
Fax
(612) 825-0789
NPI assigned
Sep 11, 2013
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01455 MN Primary

Addresses

Primary practice location

310 E 38TH St # 322
Minneapolis, MN 55409-1300

Mailing address

2925 Monterey Ave
St Louis Park, MN 55416-5801
Phone (612) 709-0751

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110002611 MN Practitioner - Mental Health Counselor 6507217999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

4820 77TH St W
Suite 130
Edina, MN 55435-4832
Phone (651) 313-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01455MNMDMental Health Counselor
1455MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients
Beechwood, Inc. Past Accepting new patients
Beechwood, Inc. Past Accepting new patients

Locations

4820 77th St W
Ste 130
Edina, MN 55435
Phone (612) 440-7565

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 252-4830

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 307-5148

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1023443819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 MONTEREY AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165801",
            "telephone_number": "612-709-0751",
            "fax_number": "612-825-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 38TH ST # 322",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091300",
            "telephone_number": "612-824-0415",
            "fax_number": "612-825-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEN-EDGAR",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "M.A, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.