Individual provider Active NPI

John H Honebrink, EDD

  • Specialist
  • Roseville, MN
National Provider Identifier
1457373771
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LP1354 Issued in MN
Practice address
516 Rosedale Tower
1700 W Hwy 36
Roseville, MN 55113-0004
Phone
(651) 490-9920
NPI assigned
Jul 24, 2006
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LP1354 MN Primary

Addresses

Primary practice location

516 Rosedale Tower
1700 W Hwy 36
Roseville, MN 55113-0004

Mailing address

1700 W Hwy 36
210 Rosedale Tower
Roseville, MN 55113-0004
Phone (651) 490-9920

Other identifiers 2

IdentifierTypeStateIssuer
0C350HOOtherMNBCBS
173348600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000479 MN Practitioner - Clinical Psychologist 2567400260 Practice locations: White Bear Lake, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Honebrink 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1457373771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W HWY 36",
            "address_2": "210 ROSEDALE TOWER",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551130004",
            "telephone_number": "651-490-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ROSEDALE TOWER",
            "address_2": "1700 W HWY 36",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551130004",
            "telephone_number": "651-490-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEBRINK",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "LP1354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C350HO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173348600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.