Active NPI
Lonny Dean Auseth, M.S.E.
- Psychologist
- Minneapolis, MN
National Provider Identifier
1558672873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP0222
- Practice address
- 3123 James Ave S
Minneapolis, MN 55408-2682 - Phone
- (612) 290-7917
- Fax
- (612) 822-8724
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0222 | MN | Primary |
Addresses
Primary practice location
3123 James Ave S
Minneapolis, MN 55408-2682
Mailing address
3123 James Ave S
Minneapolis, MN 55408-2682
Phone (612) 290-7917
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP0222 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1558672873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 JAMES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082682",
"telephone_number": "612-290-7917",
"fax_number": "612-822-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 JAMES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082682",
"telephone_number": "612-290-7917",
"fax_number": "612-822-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSETH",
"first_name": "LONNY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "M.S.E.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.