NPIMap

Organization Active NPI

Nathan & Associates, LLC

  • Clinical Social Worker
  • Roseville, MN
National Provider Identifier
1982123345
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17535 Issued in MN
Legal business name
NATHAN & ASSOCIATES, LLC
Practice address
2233 Hamline Ave N Ste 435
Roseville, MN 55113-5023
Phone
(612) 708-7712
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Nathan RauschendorferNPI 1235382169
Title
MSW, Licsw/Owner
Phone
(612) 708-7712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 17535 MN Primary

Addresses

Primary practice location

2233 Hamline Ave N Ste 435
Roseville, MN 55113-5023

Mailing address

2434 Hazelwood St
Maplewood, MN 55109-2028

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherMNTAXONOMY CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130002331 MN Part B Supplier - Clinic/Group Practice 3274890140 Receives reassigned benefits from 7 practitioners
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

2233 Hamline Ave N
Ste 435
Saint Paul, MN 55113
Phone (612) 444-9781

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1982123345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 HAZELWOOD ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 435",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135023",
            "telephone_number": "612-708-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "RAUSCHENDORFER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MSW, LICSW/OWNER",
        "authorized_official_telephone_number": "612-708-7712"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "1041C0700X",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.