Active NPI
Casey Claire Rose Nielsen
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1376181727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1000 University Ave W Ste 20
Saint Paul, MN 55104-4747 - Phone
- (612) 373-9160
- NPI assigned
- Dec 17, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1000 University Ave W Ste 20
Saint Paul, MN 55104-4747
Mailing address
1000 University Ave W Ste 20
Saint Paul, MN 55104-4747
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7203 Perry CT E
Brooklyn Center, MN 55429-1202
Phone (612) 540-0643
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Psychological Services, P.C. | Mental Health | Current | Accepting new patients |
| Rainbow Health Minnesota | Past | Accepting new patients |
Locations
7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393
7401 Metro Blvd
Ste 525
Minneapolis, MN 55439
3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Edina, MN
- NPI 1245610856
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1851034821
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1679027148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1376181727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 UNIVERSITY AVE W STE 20",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 UNIVERSITY AVE W STE 20",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551044747",
"telephone_number": "612-373-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "CASEY",
"middle_name": "CLAIRE ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.