Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

Q: 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.

Q: What is Glenn Nuckols's specialty?

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

Q: 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 50 days 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 June 23, 2026

4749 CHICAGO AVE STE 2B, MINNEAPOLIS, MN 55407(612) 361-7885 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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.

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

Phone(612) 361-7885

Sole ProprietorYes

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

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Other Providers at the Same Location NPPES 3

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

MIND.BODY.SELF., INC.

Community/Behavioral Health

4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407

Hennepin County (612) 710-6107

LAURA MARIE FORD LPCC

Counselor (Professional)

4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407

Hennepin County (612) 404-0211

HIRAETH PSYCHOTHERAPY PLLC

Counselor (Professional)

4749 CHICAGO AVE STE 2B
MINNEAPOLIS, MN 55407

Hennepin County (612) 404-0211

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.

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 50 days 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.