Organization Active NPI

Nexus Family Healing

Doing business as Nexus Mille Lacs Family Healing

  • Prescribing (Medical) Psychologist
  • Onamia, MN
National Provider Identifier
1063773174
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
1036935-2-CRF Issued in MN
Legal business name
NEXUS FAMILY HEALING
Doing business as
Nexus Mille Lacs Family Healing
Practice address
407 130TH Ave S
Onamia, MN 56359-3115
Phone
(320) 532-4005
NPI assigned
Jun 5, 2012
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NEXUS FAMILY HEALINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Christopher Hartkemeyer
Title
Revenue Cycle Manager
Phone
(763) 551-8640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X 1036935-2-CRF MN Primary

Addresses

Primary practice location

407 130TH Ave S
Onamia, MN 56359-3115

Mailing address

407 130TH Ave S
Onamia, MN 56359-3115

Other identifiers 1

IdentifierTypeStateIssuer
1700958881OtherMNNPI FOR RESIDENTIAL TREATMENT FACILITY

Other names 1

  • Nexus Mille Lacs Family Healing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nexus36 organizations share this tax ID, including this one
Part of
Nexus

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1063773174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 130TH AVE S",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 130TH AVE S",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593115",
            "telephone_number": "320-532-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS FAMILY HEALING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXUS FAMILY HEALING",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HARTKEMEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "763-551-8640"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MN",
            "license": "1036935-2-CRF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR RESIDENTIAL TREATMENT FACILITY",
            "identifier": "1700958881",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Mille Lacs Family Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.