Active NPI
Nicole Marie Weiss
- Professional Counselor
- Northfield, MN
National Provider Identifier
1962834549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4701
- Practice address
- 1540 Independence Dr
Northfield, MN 55057-4863 - Phone
- (701) 729-8471
- NPI assigned
- Aug 6, 2013
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 307551 | MN | |
| Professional Counselor | 101YP2500X | 4701 | MN | Primary |
| Professional Counselor | 101YP2500X | 836-6-1-15-319 | ND |
Addresses
Primary practice location
1540 Independence Dr
Northfield, MN 55057-4863
Mailing address
1540 Independence Dr
Northfield, MN 55057-4863
Phone (701) 729-8471
Other practice location 1
17780 Iten Ct N
Lakeville, MN 55044-8728
Phone (651) 515-2137
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307551 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 1759 | ND | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Foundations Counseling PC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Fargo, ND
- NPI 1407575194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1962834549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 INDEPENDENCE DR",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550574863",
"telephone_number": "701-729-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 INDEPENDENCE DR",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550574863",
"telephone_number": "701-729-8471"
}
],
"practiceLocations": [
{
"address_1": "17780 Iten Ct N",
"address_purpose": "LOCATION",
"city": "Lakeville",
"state": "MN",
"postal_code": "550448728",
"country_code": "US",
"telephone_number": "651-515-2137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "307551",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4701",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "836-6-1-15-319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.