Individual provider Active NPI

Nancy Janet Temple, MA, LPCC

  • Counseling Psychologist
  • Bloomington, MN
National Provider Identifier
1891351755
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
CC02118 Issued in MN
Practice address
8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320
Phone
(800) 336-5973
Fax
(612) 234-4689
NPI assigned
May 16, 2019
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X CC02118 MN Primary

Addresses

Primary practice location

8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320

Mailing address

1915 Lyndale Ave S
Minneapolis, MN 55403-3380
Phone (800) 336-5973

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
I20240917001638 MN Practitioner - Mental Health Counselor 6901347020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Mental Health, GBCGroup PAC ID 1355500752, 29 clinicians

Practice addresses (Care Compare)

8120 Penn Ave S
Suite 270
Bloomington, MN 55431-1320
Phone (800) 336-5973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2118MNMDClinical Psychologist
CC02118MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Mental Health, GBC CurrentSince Aug 23, 2024 Accepting new patients
Catalyst Mental Health, GBC CurrentSince Aug 23, 2024 Accepting new patients

Locations

1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973

8120 Penn Ave S
Ste 270
Minneapolis, MN 55431
Phone 8003365973 ext. 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1891351755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033380",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 270",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311320",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "NANCY",
        "middle_name": "JANET",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "CC02118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.