Justin Michael Mednick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

101 5TH St E
208
Northfield, MN 55057-2067

Phone

(507) 222-9230

Fax

(507) 786-9877

NPI assigned

Jan 12, 2017

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 and National Provider Directory roles.

• MN Mental Health Consulting LLC

  • Community/Behavioral Health Agency
  • Edina, MN
  • NPI 1639343783
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1639615800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE",
            "address_2": "380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST E",
            "address_2": "208",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572067",
            "telephone_number": "507-222-9230",
            "fax_number": "507-786-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen McIntyre, MD
• Bridget Marie McLeran, PA-C
• Hailey Elizabeth McManus
• Donna McMillan, PH.D., L.P.
• Mary Jo McNamara, PT, ATC
• Natalya Gail Meehan, LICSW
• Meissner Psychiatric Care PLLC
• Deborah Lois Meissner, DNP, PMHNP-BC
• Jeffrey T Meland, MD
• Lynn Marie Melhouse, PTA

• Mental Health Counselor in Northfield, MN
• Providers in Northfield, 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 Jan 12, 2017; 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.