Active NPI
Michael Ryan Nachreiner, LPCC, LADC
- Professional Counselor
- Edina, MN
National Provider Identifier
1750985248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2653
- Practice address
- 6600 France Ave S Ste 425
Edina, MN 55435-1808 - Phone
- (952) 522-6512
- NPI assigned
- Nov 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303778 | MN | |
| Professional Counselor | 101YP2500X | 2653 | MN | Primary |
Addresses
Primary practice location
6600 France Ave S Ste 425
Edina, MN 55435-1808
Mailing address
6600 France Ave S Ste 425
Edina, MN 55435-1808
Other practice location 1
7117 Ohms Ln
Edina, MN 55439-2142
Phone (763) 577-2489
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6600 France Ave S
Suite 425
Edina, MN 55435-1808
Phone (952) 243-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303778 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients |
Locations
6600 France Ave S
Ste 425
Edina, MN 55435
Phone (952) 243-8300
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Organizations & group practices 2
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.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1750985248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 425",
"city": "EDINA",
"state": "MN",
"postal_code": "554351808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 425",
"city": "EDINA",
"state": "MN",
"postal_code": "554351808",
"telephone_number": "952-522-6512"
}
],
"practiceLocations": [
{
"address_1": "7117 Ohms Ln",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554392142",
"country_code": "US",
"telephone_number": "763-577-2489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NACHREINER",
"first_name": "MICHAEL",
"middle_name": "RYAN",
"credential": "LPCC, LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "303778",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.