Nathaniel W Hurse, LADC #301333

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301333 Issued in MN

Practice address

8557 Wyoming Ave N Ste 6
Brooklyn Park, MN 55445-1847

Phone

(612) 203-9980

Fax

(612) 879-3604

NPI assigned

May 8, 2012

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon of Strength Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1891418406
  Medicare reassignment NPD
• Sankofa Group

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1689005035
  Authorized official Same address or phone
• True Foundation,LLC

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn Park, MN
  • NPI 1225318637
  NPD (past) Authorized official

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1699034975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7508",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554070508",
            "telephone_number": "612-203-9809",
            "fax_number": "612-879-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8557 WYOMING AVE N STE 6",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451847",
            "telephone_number": "612-203-9980",
            "fax_number": "612-879-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSE",
        "first_name": "NATHANIEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LADC  #301333",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301333",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humble Hands Home Care LLC (Humble Hands)
• Brianna Catherine Hunter, M.S. CF-SLP
• Quinnisha Regina-Niki Hunter
• Jessica Huntley, OTR/L, MS
• Makenzie Huppert
• Amal Hussein
• Isadin Hussein
• Ridwan Hussein
• Seyd Kassim Hussein
• Urji Hussein

• Addiction (Substance Use Disorder) Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.