Stacie Lynne Nelson, RN, LAMFT
Individual provider Active NPI Mental Health Counselor · Delano, MN
NPI 1104169754 · NPPES record last updated Apr 2, 2013
Key facts
- NPI
- 1104169754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2696 (MN)
- Practice address
- 265 River St N
Delano, MN 55328-8266 - Phone
- (612) 584-1153
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2696 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Counseling Associates Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2696 | MN | Yes |
Addresses
Primary practice location
265 River St N
Delano, MN 55328-8266
Mailing address
PO Box 752
Delano, MN 55328-0752
Other providers in Delano, MN
- Elizabeth Moravec
- Bridget R Narum
- Katy Neil
- Joni Nelson
- Kristin Nelson
- Nooma Counseling LLC
- Northstar Concierge Med
- Abby Renee Olson
- PCC, Inc
- Therese B. M. Pederson
All providers in Delano, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.