Active NPI
Andrew Huys
- Professional Counselor
- Eden Prairie, MN
National Provider Identifier
1386090223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC03050
- Practice address
- 6385 Old Shady Oak Rd #250
Eden Prairie, MN 55344 - Phone
- (612) 440-1604
- NPI assigned
- May 10, 2016
- Reactivated
- Dec 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304327 | MN | |
| Professional Counselor | 101YP2500X | CC03050 | MN | Primary |
Addresses
Primary practice location
6385 Old Shady Oak Rd #250
Eden Prairie, MN 55344
Mailing address
6385 Shady Oak Rd
Ste 250
Eden Prairie, MN 55344-9468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304327 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| CC03050 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1386090223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 SHADY OAK RD",
"address_2": "STE 250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553449468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 OLD SHADY OAK RD #250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55344",
"telephone_number": "612-440-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYS",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2024-06-25",
"certification_date": "2024-06-17",
"deactivation_date": "2021-11-02",
"reactivation_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304327",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.