John Arthur Flannagan, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

501 Issued in MN

Practice address

4037 13TH Ave S
Minneapolis, MN 55407-3243

Phone

(612) 825-9019

NPI assigned

Sep 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. John Arthur Flannagan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1366083438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 13TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073243",
            "telephone_number": "612-825-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 13TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073243",
            "telephone_number": "612-825-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNAGAN",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "FLANNAGAN",
            "middle_name": "ARTHUR",
            "prefix": "MR.",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Siobhan Moira Flanagan, M.D.
• Alexa Colette Flanders
• Summer Flanders
• Ellie Flandrick, PA-C
• Megan Flanigan
• Michael Darragh Flannery, MB BCH
• Kaitlin Flannigan
• Elizabeth Alden Flashinski, SLP-CCC
• Cassandra Flaten, OTR/L
• Judy M. Flaten

• All providers in Minneapolis, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.