Organization Active NPI

Blue Nest Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayer, MN
National Provider Identifier
1821760158
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLUE NEST COUNSELING LLC
Practice address
212 Ash Ave N Ste 3
Mayer, MN 55360-8557
Phone
(612) 790-2806
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Ms. Corrie Jonetta Merten, LMFT
Title
Owner/Therapist
Phone
(612) 790-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

212 Ash Ave N Ste 3
Mayer, MN 55360-8557

Mailing address

PO Box 24
Mayer, MN 55360-0024
Phone (612) 790-2806

National Provider Directory

National Provider Directory

Locations

212 Ash Ave N
Ste 3
Mayer, MN 55360
Phone (612) 790-2806

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1821760158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "MAYER",
            "state": "MN",
            "postal_code": "553600024",
            "telephone_number": "612-790-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ASH AVE N STE 3",
            "city": "MAYER",
            "state": "MN",
            "postal_code": "553608557",
            "telephone_number": "612-790-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE NEST COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MERTEN",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_middle_name": "JONETTA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-790-2806",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayer, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.