Individual provider Active NPI

Nikole Ann Robinson, LMFT

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1871271973
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4238 Issued in MN
Practice address
615 1St Ave NE Ste 505
Minneapolis, MN 55413-2447
Phone
(612) 202-4958
Fax
(612) 677-3123
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 4238 MN Primary

Addresses

Primary practice location

615 1St Ave NE Ste 505
Minneapolis, MN 55413-2447

Mailing address

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone (612) 712-7200

Other practice location 1

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone (612) 712-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003781 MN Practitioner - Marriage and Family Therapist 4789024126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3C HansonsGroup PAC ID 1850795113, 2 clinicians

Practice addresses (Care Compare)

615 1St Ave NE
Suite 505
Minneapolis, MN 55413-2447
Phone (612) 712-7200

6625 Lyndale Ave S
Suite 440
Richfield, MN 55423-2380
Phone (612) 712-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4238MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
3C Hansons Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

615 1st Ave NE
Ste 505
Minneapolis, MN 55413
Phone (612) 202-4958

6625 Lyndale Ave S
Ste 440
Richfield, MN 55423
Phone (612) 470-7737

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1871271973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 440",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232380",
            "telephone_number": "612-712-7200",
            "fax_number": "612-677-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST AVE NE STE 505",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132447",
            "telephone_number": "612-202-4958",
            "fax_number": "612-677-3123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 Lyndale Ave S Ste 440",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232380",
            "country_code": "US",
            "telephone_number": "612-712-7200",
            "fax_number": "612-677-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NIKOLE",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.