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MALLYSSA ROSE NISSEN
NPI 1336949262
Counselor - Mental Health in Brooklyn Park, MN

Active since March 18, 2025
6800 78TH AVE N, BROOKLYN PARK, MN 55445(612) 314-0349 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallyssa Rose Nissen NPPES

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

MALLYSSA ROSE NISSEN (NPI 1336949262) is an individual mental health provider in Brooklyn Park, Minnesota and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1336949262
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMALLYSSA ROSE NISSEN
Location Address6800 78TH AVE NBrooklyn Park, MN 55445-2758
Mailing Address6740 Plaza Curv NeFridley, MN 55432-4323 · (612) 709-2502
Phone(612) 314-0349
Sole ProprietorNo
Enumeration DateMarch 18, 2025
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1336949262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 307186 (MN)
6800 78TH AVE N, Brooklyn Park, MN 55445
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Other Providers at the Same Location NPPES 20

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

CARLY ZIEGEWEID
Counselor (Mental Health)
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (612) 924-3807
MR. MARTRELL CORNELL CARTER
Counselor (Mental Health)
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (612) 924-3807
MICHAEL ANTHONY JESKA
Counselor
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (612) 924-3807
SMC CARE, INC.
Assisted Living Facility
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (952) 836-6862
HANNAH BLEVINS
Counselor (Mental Health)
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (651) 337-9242
BRITTANY CANDACE WHITAM BA
Student in an Organized Health Care Education/Training Program
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (612) 924-3807
DR. ALVIN CASMIR STACHOWSKI D.C.
Chiropractor
6800 78TH AVE N
BROOKLYN PARK, MN 55445
Hennepin County (763) 566-1042
DR. CHAD ALAN CLEMENTSON D.C.
Chiropractor
6800 78TH AVE N, SUITE 107
BROOKLYN PARK, MN 55445
Hennepin County (763) 566-1042

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 Mallyssa Nissen's NPI number?

The NPI number for Mallyssa Nissen is 1336949262. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Mallyssa Nissen located?

Mallyssa Nissen practices at 6800 78th Ave N, Brooklyn Park, MN 55445. The listed phone number is (612) 314-0349.

What is Mallyssa Nissen's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallyssa Nissen was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.