GLENN RAGSDALE NUCKOLS LADC, LPCC
NPI 1477489698
Counselor - Professional in Minneapolis, MN

Active since June 23, 2026PECOS EnrolledAccepts Medicare Assignment
4749 CHICAGO AVE STE 2B, MINNEAPOLIS, MN 55407(612) 361-7885 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glenn Ragsdale Nuckols Ladc, Lpcc NPPES

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

GLENN RAGSDALE NUCKOLS LADC, LPCC (NPI 1477489698) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (5648) and active in the NPI registry since June 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477489698
Entity TypeIndividual
Primary Taxonomy101YP2500X
Provider Legal NameGLENN RAGSDALE NUCKOLSCredential: LADC, LPCC
Location Address4749 CHICAGO AVE STE 2BMinneapolis, MN 55407-4181
Mailing Address4749 Chicago Ave Ste 2bMinneapolis, MN 55407-4181 · (612) 361-7885
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 23, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1477489698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5648
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306818 (MN)
4749 CHICAGO AVE STE 2B, Minneapolis, MN 55407

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenn Ragsdale Nuckols Ladc, Lpcc 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 ID2961961891
PECOS Enrollment IDI20260831001751
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.

Medicare Billing Reassignment

Medicare enrollment records show Glenn Nuckols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
4749 CHICAGO AVE STE 2B
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407
Counselor (Professional)
4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407

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 Glenn Nuckols's NPI number?

The NPI number for Glenn Nuckols is 1477489698. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Glenn Nuckols located?

Glenn Nuckols practices at 4749 Chicago Ave Ste 2B, Minneapolis, MN 55407. The listed phone number is (612) 361-7885.

What is Glenn Nuckols's specialty?

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

Is Glenn Nuckols enrolled in Medicare?

Yes. Glenn Nuckols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Glenn Nuckols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Nuckols reassigns Medicare benefits to Hiraeth Psychotherapy PLLC (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Nuckols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Nuckols accept?

Health plans from HealthPartners list Glenn 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 Glenn Nuckols was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.