Individual provider Active NPI

Nicholas William Vorpahl, MA, LPCC

  • Professional Counselor
  • Golden Valley, MN
National Provider Identifier
1124547187
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1626 Issued in MN
Practice address
8421 Wayzata Blvd Ste 250
Golden Valley, MN 55426-1382
Phone
(952) 835-6540
NPI assigned
Sep 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1626 MN
Professional Counselor 101YP2500X 1626 MN Primary

Addresses

Primary practice location

8421 Wayzata Blvd Ste 250
Golden Valley, MN 55426-1382

Mailing address

685 22ND Ave NE # 1
Minneapolis, MN 55418-3562
Phone (507) 276-7022

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
I20240326001702 MN Practitioner - Mental Health Counselor 2860839800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerlife Counseling LLCGroup PAC ID 0547391187, 13 clinicians

Practice addresses (Care Compare)

4444 Centerville Rd
Suite 235
Saint Paul, MN 55127-3712
Phone 6512893111131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1626MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerlife Counseling, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Por, LLC PastSince Feb 15, 2012 Accepting new patients

Locations

7039 20th Ave
Hugo, MN 55038
Phone (651) 288-0332

4444 Centerville Rd
Ste 235
White Bear Lake, MN 55127
Phone (651) 289-3111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1124547187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 22ND AVE NE # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183562",
            "telephone_number": "507-276-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 WAYZATA BLVD STE 250",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261382",
            "telephone_number": "952-835-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORPAHL",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1626",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.