Individual provider Active NPI

Bonnie Inez Norsted, M.A.

  • Mental Health Counselor
  • Coon Rapids, MN
National Provider Identifier
1740348283
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LP2716 Issued in MN
Practice address
277 Coon Rapids Blvd NW
Suite 308
Coon Rapids, MN 55433-5843
Phone
(763) 784-3405
Fax
(763) 717-4954
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

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 LP2716 MN Primary

Addresses

Primary practice location

277 Coon Rapids Blvd NW
Suite 308
Coon Rapids, MN 55433-5843

Mailing address

277 Coon Rapids Blvd NW
Suuite308
Coon Rapids, MN 55433-5843
Phone (763) 784-3405

Other identifiers 2

IdentifierTypeStateIssuer
OA369MEOtherMNBLUE CROSS BLUE SHIELD
6260146OtherMNUBH

Other names 1

  • Mrs. Bonnita Inez Norsted Meitzner Former name

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

LicenseStateTypeSpecialty
LP2716MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740348283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW",
            "address_2": "SUUITE308",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335843",
            "telephone_number": "763-784-3405",
            "fax_number": "763-717-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COON RAPIDS BLVD NW",
            "address_2": "SUITE 308",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335843",
            "telephone_number": "763-784-3405",
            "fax_number": "763-717-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORSTED",
        "first_name": "BONNIE",
        "middle_name": "INEZ",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP2716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OA369ME",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6260146",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNITA",
            "last_name": "NORSTED MEITZNER",
            "middle_name": "INEZ",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, 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.