Nicole Lovald

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6140 Lake Linden Dr
Shorewood, MN 55331-2954

Phone

(612) 360-7061

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 3, 2024 through Sep 3, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1518626548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27425 BLUE RIDGE LN",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553318323",
            "telephone_number": "612-360-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 LAKE LINDEN DR",
            "city": "SHOREWOOD",
            "state": "MN",
            "postal_code": "553312954",
            "telephone_number": "612-360-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVALD",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nicolelovald.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication",
            "address_1": "6140 Lake Linden Dr",
            "city": "Shorewood",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553312954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Jayne Isaacson, D.C.
• Susanne B Kanter, MSPT
• Sarah M Kim, M.D.
• Alyse Mackenzie Larson, PHARMD
• Lifetime Chiropractic PA
• Carlee Elizabeth Meehah, PHARMD
• Minnetonka Psychology and Wellness
• Susan Barbara Nelson, MA, LPCC
• Nueva Era Healthcare Services, Inc.
• Kelli J O'Shea

• Mental Health Counselor in Shorewood, MN
• Providers in Shorewood, 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 Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.