PROF. IVAN LOUIS NELSON LADC,CPP
NPI 1023680436
Counselor - Professional in Saint Paul, MN

Active since July 14, 2021
34 MORELAND AVE E, SAINT PAUL, MN 55118(612) 306-3416 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Ivan Louis Nelson Ladc,cpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. IVAN LOUIS NELSON LADC,CPP (NPI 1023680436) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (304554) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1023680436
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePROF. IVAN LOUIS NELSONCredential: LADC,CPP
Location Address34 MORELAND AVE ESaint Paul, MN 55118-2444
Mailing Address9333 Nesbitt RdBloomington, MN 55437-1916 · (612) 306-3416
Sole ProprietorYes
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 2, 2021
NPI 1023680436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 304554
34 MORELAND AVE E, Saint Paul, MN 55118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Nelson's NPI number?

The NPI number for Ivan Nelson is 1023680436. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Ivan Nelson located?

Ivan Nelson practices at 34 Moreland Ave E, Saint Paul, MN 55118. The listed phone number is (612) 306-3416.

What is Ivan Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ivan Nelson was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.