Individual provider Active NPI

Aaron Nordrum, LMFT

  • Marriage & Family Therapist
  • International Falls, MN
National Provider Identifier
1295339299
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4059 Issued in MN
Practice address
900 5TH St Ste 305
International Falls, MN 56649-2200
Phone
(218) 283-3406
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4059 MN Primary

Addresses

Primary practice location

900 5TH St Ste 305
International Falls, MN 56649-2200

Mailing address

2103 County Road 124
International Falls, MN 56649-8806
Phone (320) 774-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4059MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Portages Health LLC CurrentSince Nov 29, 2024 Accepting new patients
Northland Counseling Center, Inc. PastSince Dec 6, 2020 Accepting new patients

Locations

310 4th Ave S
Ste 5010
Minneapolis, MN 55415
Phone (320) 492-2232

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1295339299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 COUNTY ROAD 124",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566498806",
            "telephone_number": "320-774-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 5TH ST STE 305",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492200",
            "telephone_number": "218-283-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDRUM",
        "first_name": "AARON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in International Falls, MN

Sources for this page

Verify at the official NPI Registry.