Active NPI
Melissa Simonson
- Professional Counselor
- Rochester, MN
National Provider Identifier
1417213661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01053
- Practice address
- 343 Wood Lake Dr. SE
Rochester, MN 55904 - Phone
- (507) 289-2089
- NPI assigned
- Apr 2, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01053 | MN | Primary |
Addresses
Primary practice location
343 Wood Lake Dr. SE
Rochester, MN 55904
Mailing address
343 Wood Lake Dr. SE
Rochester, MN 55904
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 |
|---|---|---|---|
| 01053 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1417213661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 WOOD LAKE DR. SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 WOOD LAKE DR. SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55904",
"telephone_number": "507-289-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "01053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.