Nichole Marie Cardinal, BA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303915 Issued in MN

Practice address

800 42ND Ave N
Minneapolis, MN 55412-1714

Phone

(612) 767-6601

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Restoration Lab Services LLC

  • Clinical Medical Laboratory
  • Minneapolis, MN
  • NPI 1548794175
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1396153128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 42ND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121714",
            "telephone_number": "612-767-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 42ND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121714",
            "telephone_number": "612-767-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINAL",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "credential": "BA, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carbon Health Primary Care of Florida PA
• Shannon Brady Carboni, PHARMD
• Madeline Rose Carchedi, PA-C
• Nicole Marie Cardarella-Gasper
• Kevin Cardinal, CRNA
• Cardiovascular Consultants, LTD.
• Care Compassions LLC
• Care Counseling Service, LLC
• Care for You Inc
• Care Home Health, Inc

• Addiction (Substance Use Disorder) Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.