Active NPI
Lindsay Marie Nelson
- Professional Counselor
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3162
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shea Counseling LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Eden Prairie, MN
- NPI 1255079893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.