Active NPI
Ted Nelson, MSW,CSW
- Mental Health Counselor
- New Orleans, LA
National Provider Identifier
1073064556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13495
- Practice address
- 2116 Lafreniere St
New Orleans, LA 70122-3710 - Phone
- (504) 610-1766
- NPI assigned
- Oct 19, 2016
- 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 | 13495 | LA | Primary |
Addresses
Primary practice location
2116 Lafreniere St
New Orleans, LA 70122-3710
Mailing address
2116 Lafreniere St
New Orleans, LA 70122-3710
Phone (504) 610-1766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | LA |
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 |
|---|---|---|---|
| 13495 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1073064556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 LAFRENIERE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223710",
"telephone_number": "504-610-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 LAFRENIERE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223710",
"telephone_number": "504-610-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TED",
"credential": "MSW,CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "13495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.