Michael Hitzelberger, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3538 Issued in MN

Practice address

425 Coon Rapids Blvd #200
NSCC
Coon Rapids, MN 58433

Phone

(763) 784-3008

Fax

(763) 784-3647

NPI assigned

Nov 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• North Suburban Counseling Center

  • Public Health or Welfare Agency
  • Coon Rapids, MN
  • NPI 1619961711
  NPD (past)
• North Suburban Counseling Ctr

  • Case Management Agency
  • Coon Rapids, MN
  • NPI 1043311368
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1710053301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COON RAPIDS BLVD #200",
            "address_2": "NSCC",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "58433",
            "telephone_number": "763-784-3008",
            "fax_number": "763-784-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COON RAPIDS BLVD #200",
            "address_2": "NSCC",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "58433",
            "telephone_number": "763-784-3008",
            "fax_number": "763-784-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITZELBERGER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437709500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen J Higgins, PT
• Macaila Hinker, OTR/L, CLT
• Kelsey Rae Hinners
• Katherine Margaret Hirsch, DNP, APRN, FNP-C
• David J Hirsh, DDS
• Samuel R Hjort, CRNA
• Martha C Ho, MD
• Dan Le Hoang, D.D.S.
• Christopher Steven Hobbs, PHARMD.
• Elizabeth Ann Hodenfield

• Psychologist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.