NPIMap

Organization Active NPI

Nest Professional Service Corp

Doing business as The NEST

  • Community/Behavioral Health Agency
  • Stillwater, MN
National Provider Identifier
1508314071
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP 5418 Issued in MN
Legal business name
NEST PROFESSIONAL SERVICE CORP
Doing business as
The NEST
Practice address
333 Main St. N
Suite #110
Stillwater, MN 55082-4903
Phone
(651) 300-8135
Fax
(651) 413-3380
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Dr. Harmony A. Carlson, PSY.D., LPNPI 1922375757
Title
Clinical Psychologist/Clinic Owner
Phone
(651) 425-9297

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
Community/Behavioral Health Agency 251S00000X LP 5418 MN Primary

Addresses

Primary practice location

333 Main St. N
Suite #110
Stillwater, MN 55082-4903

Mailing address

333 Main St. N
Suite #110
Stillwater, MN 55082-4903
Phone (651) 300-8135

Other names 1

  • The NEST Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905002907 MN Part B Supplier - Clinic/Group Practice 6608239819 Receives reassigned benefits from 4 practitioners
Practice locations: Stillwater, MN

National Provider Directory

National Provider Directory

Locations

204 3rd St S
Stillwater, MN 55082

333 Main St N
Ste 110
Stillwater, MN 55082
Phone (651) 300-4311

Practitioners & affiliated clinicians

Practitioners 8

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1508314071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAIN ST. N",
            "address_2": "SUITE #110",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824903",
            "telephone_number": "651-300-8135",
            "fax_number": "651-413-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST. N",
            "address_2": "SUITE #110",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824903",
            "telephone_number": "651-300-8135",
            "fax_number": "651-413-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEST PROFESSIONAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "HARMONY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CLINIC OWNER",
        "authorized_official_telephone_number": "651-425-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP 5418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The NEST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The NEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.