Active NPI
Nathan John Hoffman, MA, LPCC
- Mental Health Counselor
- Rogers, MN
National Provider Identifier
1669161154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3808
- Practice address
- 21000 Rogers Dr Ste 100
Rogers, MN 55374-4721 - Phone
- (763) 291-5505
- Fax
- (763) 657-0819
- NPI assigned
- May 2, 2023
- Last updated
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3808 | MN | Primary |
Addresses
Primary practice location
21000 Rogers Dr Ste 100
Rogers, MN 55374-4721
Mailing address
21000 Rogers Dr Ste 100
Rogers, MN 55374-4721
Phone (763) 291-5505
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3808 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridging Hope Counseling Services LLC | Current | Accepting new patients | |
| 4 Counsel, P.a. | Mental Health | Past | Accepting new patients |
| Brunetti Consulting, Inc | Past | Accepting new patients |
Locations
21000 Rogers Dr
Ste 100
Rogers, MN 55374
Phone (763) 291-5505
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Rogers, MN
- NPI 1598921629
-
- Clinical Neuropsychologist
- Rogers, MN
- NPI 1982719118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1669161154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 ROGERS DR STE 100",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744721",
"telephone_number": "763-291-5505",
"fax_number": "763-657-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 ROGERS DR STE 100",
"city": "ROGERS",
"state": "MN",
"postal_code": "553744721",
"telephone_number": "763-291-5505",
"fax_number": "763-657-0819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "NATHAN",
"middle_name": "JOHN",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "3808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.