Active NPI
Eleanor Porter-Nelson, Inc
- Mental Health Counselor
- Saint Paul, MN
National Provider Identifier
1417675612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eleanor Porter-Nelson, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eleanor@millcitypsychotherapy.com | Eleanor Porter-Nelson, Inc |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Saint Paul, MN
- NPI 1548718869
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.