ELLIOT COLE NUCKOLS MPS
NPI 1306509302
Counselor - Mental Health in Woodbury, MN

Q: What is Elliot Nuckols's NPI number?

The NPI number for Elliot Nuckols is 1306509302. It was assigned to this individual provider in the NPPES registry on October 16, 2021. The provider is also known as Breanna Nicole Nuckols.

Q: What is Elliot Nuckols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Elliot Nuckols was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 16, 2021

700 COMMERCE DR STE 250, WOODBURY, MN 55125(270) 268-1835 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Oct 16, 2021 (2 updates tracked since 2021).

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About Elliot Cole Nuckols Mps NPPES

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

ELLIOT COLE NUCKOLS MPS (NPI 1306509302) is an individual mental health provider in Woodbury, Minnesota, licensed in Minnesota (3675) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1306509302

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELLIOT COLE NUCKOLSCredential: MPS

Location Address700 COMMERCE DR STE 250Woodbury, MN 55125-5407

Mailing Address10 E 18th St Unit 615Minneapolis, MN 55403-4094 · (270) 268-1835

Phone(270) 268-1835

Sole ProprietorYes

Enumeration DateOctober 16, 2021

Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1306509302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 3675

700 COMMERCE DR STE 250, Woodbury, MN 55125

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Other Names 1

Former Name (1)Breanna Nicole Nuckols

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

KATIE CORRIGAN

Counselor (Mental Health)

700 COMMERCE DR STE 250
WOODBURY, MN 55125

Washington County (612) 924-1919

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 Elliot Nuckols's NPI number?

The NPI number for Elliot Nuckols is 1306509302. It was assigned to this individual provider in the NPPES registry on October 16, 2021. The provider is also known as Breanna Nicole Nuckols.

Where is Elliot Nuckols located?

Elliot Nuckols practices at 700 Commerce Dr Ste 250, Woodbury, MN 55125. The listed phone number is (270) 268-1835.

What is Elliot Nuckols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Elliot Nuckols accept?

Health plans from HealthPartners list Elliot Nuckols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elliot Nuckols was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.