Individual provider Active NPI

Ann Louise Nordlund, LICSW

  • Mental Health Counselor
  • Remer, MN
National Provider Identifier
1700915246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
02303 Issued in MN
Practice address
5910 Little Sand LN NE
Remer, MN 56672-4423
Phone
(218) 566-2342
Fax
(218) 566-2341
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 02303 MN Primary

Addresses

Primary practice location

5910 Little Sand LN NE
Remer, MN 56672-4423

Mailing address

7601 Filbert LN NE
Bemidji, MN 56601-7019
Phone (218) 751-4182

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

LicenseStateTypeSpecialty
02303MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sand Group Homes Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700915246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 FILBERT LN NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017019",
            "telephone_number": "218-751-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 LITTLE SAND LN NE",
            "city": "REMER",
            "state": "MN",
            "postal_code": "566724423",
            "telephone_number": "218-566-2342",
            "fax_number": "218-566-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLUND",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Remer, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.