Active NPI
Anshan Eckard, PH.D.
- Counseling Psychologist
- Minneapolis, MN
National Provider Identifier
1245644582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP 5518
- Practice address
- 128 Pleasant St SE
Appleby Hall
Minneapolis, MN 55455-0434 - Phone
- (612) 624-7374
- NPI assigned
- Jun 14, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP 5518 | MN | Primary |
Addresses
Primary practice location
128 Pleasant St SE
Appleby Hall
Minneapolis, MN 55455-0434
Mailing address
128 Pleasant St SE
Appleby Hall
Minneapolis, MN 55455-0434
Phone (612) 624-7374
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 5518 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402704000000",
"number": "1245644582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 PLEASANT ST SE",
"address_2": "APPLEBY HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550434",
"telephone_number": "612-624-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 PLEASANT ST SE",
"address_2": "APPLEBY HALL",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550434",
"telephone_number": "612-624-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKARD",
"first_name": "ANSHAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-14",
"last_updated": "2014-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP 5518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.