Nobility Wellness Services, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NOBILITY WELLNESS SERVICES, PLLC

Practice address

1061 Grand Ave FL 2
Saint Paul, MN 55105-3002

Phone

(507) 317-9349

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Nicole CarreonNPI 1407334402

Title

Co-Owner

Phone

(507) 317-9349

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Carreon, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1407334402
  NPD Authorized official
• Jennifer Haut-Prokop, MA, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1699540666
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1366908824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 BOARDWALK",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221235",
            "telephone_number": "507-317-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 GRAND AVE FL 2",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053002",
            "telephone_number": "507-317-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Old Cedar Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554251205",
            "country_code": "US",
            "telephone_number": "507-317-9349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOBILITY WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "507-317-9349"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyn Nix, MA
• Michaela Nizinski, RN
• Nkaujneeb M Yang (Harmony Health Services)
• Edmond Nkwain
• Nadege Nguetsop Nnamani, FNP
• Noble Hands Inc
• Noble Hearts Care Services LLC
• Noble Senior Center Inc
• Cindy Kruger Noble, CRNA
• Nobles PSYD LP LLC

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.