JEFFERY ALLEN NELSON - NPI 1043914393 - Marriage & Family Therapist in St Louis Park, MN

Q: What is Jeffery Nelson's NPI number?

The NPI number for Jeffery Nelson is 1043914393. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Jeffery Nelson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Nelson was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeffery Allen Nelson NPPES

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

JEFFERY ALLEN NELSON (NPI 1043914393) is an individual marriage & family therapist in St Louis Park, Minnesota, licensed in Minnesota (3923) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043914393

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJEFFERY ALLEN NELSON

Location Address6465 WAYZATA BLVD STE 710St Louis Park, MN 55426-1733

Mailing Address6465 Wayzata Blvd Ste 710St Louis Park, MN 55426-1733 · (612) 735-8002 · Fax (651) 413-3003

Phone(612) 735-8002

Fax(651) 413-3003

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 29, 2023

NPPES CertifiedMarch 29, 2023

✔ NPI 1043914393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3923

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6465 WAYZATA BLVD STE 710, St Louis Park, MN 55426

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffery Allen Nelson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638514912

PECOS Enrollment IDI20240226003646

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE ROLFING

Counselor (Professional)