Individual provider Active NPI

Nicholas Ross, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1659824878
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4220 31St Ave S
Minneapolis, MN 55406-3312
Phone
(651) 208-2767
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4220 31St Ave S
Minneapolis, MN 55406-3312

Mailing address

4220 31St Ave S
Minneapolis, MN 55406-3312

Other practice location 1

333 Washington Ave N Ste 401
Minneapolis, MN 55401-1354
Phone (651) 208-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124003474 MN Practitioner - Mental Health Counselor 3274986435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Counseling Mental Health CurrentSince Jan 7, 2024 Accepting new patients

Locations

333 Washington Ave N
Ste 401
Minneapolis, MN 55401
Phone (218) 579-0385

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1659824878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 31ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063312",
            "telephone_number": "651-208-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Washington Ave N Ste 401",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554011354",
            "country_code": "US",
            "telephone_number": "651-208-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "NICHOLAS",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.