Nicole Neff Medin, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2801 Issued in MN

Practice address

1313 E 66TH St Ste B101
Richfield, MN 55423-4577

Phone

(612) 758-0773

NPI assigned

Oct 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Nicole Heise Neff Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1992108740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 ATLANTIC HILL DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232049",
            "telephone_number": "651-329-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E 66TH ST STE B101",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234577",
            "telephone_number": "612-758-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIN",
        "first_name": "NICOLE",
        "middle_name": "NEFF",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302039",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NEFF",
            "middle_name": "HEISE",
            "prefix": "MS.",
            "credential": "LMFT, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla McCall, APRN
• Caitlyn McClellan
• Maura McDonald, LMFT
• Amanda McGuire, DPM
• Nancy McLean, LAMFT
• Bertha Alicia Medina
• Patricia A Medina
• Yisakor Gemeda Megersa
• Leah Renee Meidt
• James P Mellema, MD

• Marriage & Family Therapist in Richfield, MN
• Providers in Richfield, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.