Individual provider Active NPI

Laura T Nikkel, LPCC

  • Counselor
  • Cohasset, MN
National Provider Identifier
1225509664
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC01840 Issued in MN
Practice address
35808 Johnson LN
Cohasset, MN 55721-2169
Phone
(218) 428-0700
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC01840 MN Primary

Addresses

Primary practice location

35808 Johnson LN
Cohasset, MN 55721-2169

Mailing address

35808 Johnson LN
Cohasset, MN 55721-2169
Phone (218) 428-0700

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
I20250219002004 MN Practitioner - Mental Health Counselor 5092235176 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
Compass North Psychological Services IncGroup PAC ID 6002158755, 2 clinicians

Practice addresses (Care Compare)

502 SE 10TH St
Grand Rapids, MN 55744-3921
Phone (218) 999-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass North Psychological Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Providence Psychiatry Services, LTD. PastSince Jan 29, 2017 Accepting new patients

Locations

1200 S Pokegama Ave
Ste 160
Grand Rapids, MN 55744
Phone (218) 246-6286

502 SE 10th St
Grand Rapids, MN 55744
Phone (218) 246-6286

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": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1225509664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35808 JOHNSON LN",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557212169",
            "telephone_number": "218-428-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35808 JOHNSON LN",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557212169",
            "telephone_number": "218-428-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKEL",
        "first_name": "LAURA",
        "middle_name": "T",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC01840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohasset, MN

Sources for this page

Verify at the official NPI Registry.