Active NPI
Nicole Casey, LMFT
- Marriage & Family Therapist
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2964
- Practice address
- 4959 Olson Memorial Hwy Ste B
Golden Valley, MN 55422-5159 - Phone
- (612) 242-6338
- NPI assigned
- Aug 15, 2016
- Last updated
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2964 | MN | Primary |
Addresses
Primary practice location
4959 Olson Memorial Hwy Ste B
Golden Valley, MN 55422-5159
Mailing address
101 Westwood Dr N
Golden Valley, MN 55422-5258
Phone (612) 242-6338
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2964 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyn-Lake Psychotherapy and Wellness LTD. | Current | Accepting new patients | |
| Soul Centered Therapy, LLC | Current | Accepting new patients |
Locations
2900 Thomas Ave S
Ste 100
Minneapolis, MN 55416
4959 Olson Memorial Hwy
Ste B
Minneapolis, MN 55422
Phone (612) 205-9745
621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1609355163
-
- Mental Health Counselor
- Golden Valley, MN
- NPI 1831953645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1376098715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WESTWOOD DR N",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554225258",
"telephone_number": "612-242-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 OLSON MEMORIAL HWY STE B",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554225159",
"telephone_number": "612-242-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-15",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
- Leah Carlson, DC
- Melissa Carlsrud, PHARMD
- Carol B. Peterson PH.D., L.P., LLC
- Jessica A Carr, PTA
- Alyssa Carrier, PT, DPT
- Caspersen, LLC (Caspersen Therapy Center)
- Melissa Castro, PSYD, LP, ABPP
- Catherine L. Cronemeyer, Psy.D., L.P., L.L.C.
- Centennial Lakes Dental Group
- Center for Psychological Consultation, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.