NPIMap

Organization Active NPI

Isuroon

  • Mental Health Counselor
  • MPLS, MN
National Provider Identifier
1053802397
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ISUROON
Practice address
1600 East Lake Street Suite 1
Minneapolis
MPLS, MN 55407
Phone
(612) 886-2731
NPI assigned
May 22, 2018
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Dr. Robin Lee Wetzel, PH.D.
Title
Program Consultant
Phone
(612) 886-2731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1600 East Lake Street Suite 1
Minneapolis
MPLS, MN 55407

Mailing address

1600 East Lake Street Suite 1
Minneapolis
MPLS, MN 55407
Phone (612) 886-2731

National Provider Directory

National Provider Directory
Tax ID family
Isuroon3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 E Lake St
Fl 1
Minneapolis, MN 55407
Phone (612) 886-2731

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1053802397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 EAST LAKE STREET SUITE 1",
            "address_2": "MINNEAPOLIS",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-886-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EAST LAKE STREET SUITE 1",
            "address_2": "MINNEAPOLIS",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-886-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISUROON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM CONSULTANT",
        "authorized_official_telephone_number": "612-886-2731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MPLS, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.