Sean Nielsen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

101 Jefferson Blvd Ste a
Big Lake, MN 55309-9572

Phone

(763) 367-6080

Fax

(763) 263-7897

NPI assigned

Jun 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Prospective Resources, Inc

  • Marriage & Family Therapist
  • Big Lake, MN
  • NPI 1336367242
  NPD (past)

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467973594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JEFFERSON BLVD STE A",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099572",
            "telephone_number": "763-367-6080",
            "fax_number": "763-263-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JEFFERSON BLVD STE A",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099572",
            "telephone_number": "763-367-6080",
            "fax_number": "763-263-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Leigh Morrison-Weseloh, LPCC, ATR-BC
• Paige Marie Myhra, MA, LADC
• Deborah M Myhre
• Diane Lisa Neal, M.S. , LPCC
• Sylvia Kooyman Nelson, MT
• Northstar Chiropractic & Wellness, P. a.
• Nystrom Residential Treatment, LLC
• Dylan Michael O'Borsky, DDS
• John Olafson, NP
• David Pachuta, D.D.S.

• Mental Health Counselor in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.