Organization Active NPI

Eleanor Porter-Nelson, Inc

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1417675612
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEANOR PORTER-NELSON, INC
Practice address
2136 Ford Pkwy # 5294
Saint Paul, MN 55116-2850
Phone
(612) 467-9924
Fax
(612) 234-4261
NPI assigned
Aug 15, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Eleanor Porter-Nelson, LICSWNPI 1548718869
Title
Owner
Phone
(847) 702-1764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2136 Ford Pkwy # 5294
Saint Paul, MN 55116-2850

Mailing address

2136 Ford Pkwy # 5294
Saint Paul, MN 55116-2850
Phone (612) 467-9924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleanor@millcitypsychotherapy.com Eleanor Porter-Nelson, Inc

National Provider Directory

National Provider Directory

Locations

2136 Ford Pkwy
#5294
Saint Paul, MN 55116
Phone (612) 467-9924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1417675612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-467-9924",
            "fax_number": "612-234-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-467-9924",
            "fax_number": "612-234-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR PORTER-NELSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "PORTER-NELSON",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-702-1764",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleanor@millcitypsychotherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Eleanor Porter-Nelson, Inc",
            "address_1": "2136 Ford Pkwy # 5294",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551162850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 29, 2022; 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.