Individual provider Active NPI

Lindsay Marie Nelson

  • Professional Counselor
  • Eden Prairie, MN
National Provider Identifier
1992352439
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3162 Issued in MN
Practice address
11800 Singletree LN Ste 304
Eden Prairie, MN 55344-5398
Phone
(612) 367-7914
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 3162 MN Primary

Addresses

Primary practice location

11800 Singletree LN Ste 304
Eden Prairie, MN 55344-5398

Mailing address

11800 Singletree LN Ste 304
Eden Prairie, MN 55344-5398
Phone (612) 367-7914

Other names 1

  • Lindsay Marie Deans Other name

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
I20241001002044 MN Practitioner - Mental Health Counselor 6204367352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11800 Singletree LN
Suite 304
Eden Prairie, MN 55344-5398

9531 W 78TH St
Suite 125
Eden Prairie, MN 55344-3851
Phone (612) 367-7914

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Counseling LLC Mental Health CurrentSince Jul 13, 2024 Accepting new patients

Locations

11800 Singletree Ln
Ste 304
Eden Prairie, MN 55344
Phone (320) 250-7533

9531 W 78th St
Ste 125
Eden Prairie, MN 55344
Phone (612) 367-7914

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1992352439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 304",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398",
            "telephone_number": "612-367-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SINGLETREE LN STE 304",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445398",
            "telephone_number": "612-367-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "DEANS",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.