Individual provider Active NPI

Magn Nyang

  • Professional Counselor
  • Spring Lake Park, MN
National Provider Identifier
1437588670
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00670 Issued in MN
Practice address
542 82ND Ave NE
Spring Lake Park, MN 55432-1907
Phone
(612) 636-8926
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00670 MN Primary

Addresses

Primary practice location

542 82ND Ave NE
Spring Lake Park, MN 55432-1907

Mailing address

542 82ND Ave NE
Spring Lake Park, MN 55432-1907
Phone (612) 636-8926

Other names 1

  • Dr. Magn Ochalla Nyang Professional name

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

LicenseStateTypeSpecialty
CC00670MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Multicultural Counseling and Consultant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1437588670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 82ND AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321907",
            "telephone_number": "612-636-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 82ND AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554321907",
            "telephone_number": "612-636-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYANG",
        "first_name": "MAGN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGN",
            "last_name": "NYANG",
            "middle_name": "OCHALLA",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spring Lake Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.