Organization Active NPI

Tom Allen, PHD, PLLC

  • Counseling Psychologist
  • Mankato, MN
National Provider Identifier
1790455269
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
TOM ALLEN, PHD, PLLC
Practice address
209 S 2ND St Ste 300a
Mankato, MN 56001-3673
Phone
(651) 243-0053
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Thomas Allen, PHD, LPNPI 1245859982
Title
Owner
Phone
(651) 243-0053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

209 S 2ND St Ste 300a
Mankato, MN 56001-3673

Mailing address

209 S 2ND St Ste 300a
Mankato, MN 56001-3673
Phone (651) 243-0053

National Provider Directory

National Provider Directory

Locations

209 S 2nd St
Ste 300A
Mankato, MN 56001
Phone (651) 243-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1790455269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 300A",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013673",
            "telephone_number": "651-243-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 300A",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013673",
            "telephone_number": "651-243-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM ALLEN, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-243-0053",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.