Individual provider Active NPI

John Robert Nord, MA-PSYCHOTHERAPIST

  • Professional Counselor
  • Minnetonka, MN
National Provider Identifier
1902437627
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
10505 Wayzata Blvd Ste 101
Minnetonka, MN 55305-1507
Phone
(612) 790-6673
Fax
(952) 582-1666
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

10505 Wayzata Blvd Ste 101
Minnetonka, MN 55305-1507

Mailing address

939 Huntington Way
Jordan, MN 55352-4531
Phone (612) 790-6673

Other names 1

  • Mr. John Robert Nord Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1902437627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 HUNTINGTON WAY",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553524531",
            "telephone_number": "612-790-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 WAYZATA BLVD STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051507",
            "telephone_number": "612-790-6673",
            "fax_number": "952-582-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MA-PSYCHOTHERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "NORD",
            "middle_name": "ROBERT",
            "prefix": "MR.",
            "credential": "JOHN R NORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.