Active NPI
Sean Elliott Nelson, MA
- Professional Counselor
- New London, CT
National Provider Identifier
1134614902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 7 Vauxhall St
New London, CT 06320-5711 - Phone
- (860) 442-2797
- Fax
- (860) 701-3776
- NPI assigned
- Jun 25, 2018
- Last updated
- Jun 25, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
7 Vauxhall St
New London, CT 06320-5711
Mailing address
255 Hempstead St
New London, CT 06320-6204
Phone (860) 443-2896
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5125 County Rd
101 Suite 300
Minnetonka, MN 55345-4157
Phone (952) 932-7277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate Inc | Current | Accepting new patients |
Locations
7700 Equitable Dr
Ste 100
Eden Prairie, MN 55344
5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (952) 230-3958
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1134614902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 HEMPSTEAD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206204",
"telephone_number": "860-443-2896",
"fax_number": "860-442-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 VAUXHALL ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063205711",
"telephone_number": "860-442-2797",
"fax_number": "860-701-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SEAN",
"middle_name": "ELLIOTT",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.