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THEODORE NASH SURDY LPCC
NPI 1629663919
Counselor - Mental Health in Mankato, MN

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment
1207 CALEDONIA ST, MANKATO, MN 56001(507) 388-8874(507) 625-4807 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Nash Surdy Lpcc NPPES

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

THEODORE NASH SURDY LPCC (NPI 1629663919) is an individual mental health provider in Mankato, Minnesota, licensed in Minnesota (CC02690) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629663919
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE NASH SURDYCredential: LPCC
Location Address1207 CALEDONIA STMankato, MN 56001-4329
Mailing Address1207 Caledonia StMankato, MN 56001-4329 · (507) 388-8874 · Fax (507) 625-4807
Phone(507) 388-8874
Fax(507) 625-4807
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1629663919 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 · CC02690
1207 CALEDONIA ST, Mankato, MN 56001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Theodore Nash Surdy 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 ID6709239304
PECOS Enrollment IDI20240131000931
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 3

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

EMILY MARIE JAEGER MS, LPCC
Counselor (Mental Health)
1207 CALEDONIA ST
MANKATO, MN 56001
Blue Earth County (507) 625-4884
JOHN E RAPKING LMFT
Marriage & Family Therapist
1207 CALEDONIA ST
MANKATO, MN 56001
Blue Earth County (507) 625-4884
TAYLOR WESTER MS, LPCC
Counselor (Mental Health)
1207 CALEDONIA ST
MANKATO, MN 56001
Blue Earth County (507) 388-8874

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 Theodore Surdy's NPI number?

The NPI number for Theodore Surdy is 1629663919. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Theodore Surdy located?

Theodore Surdy practices at 1207 Caledonia St, Mankato, MN 56001. The listed phone number is (507) 388-8874.

What is Theodore Surdy's specialty?

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

Is Theodore Surdy enrolled in Medicare?

Yes. Theodore Surdy 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.

What insurance does Theodore Surdy accept?

Health plans from HealthPartners and Sanford Health Plan list Theodore Surdy 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 Theodore Surdy was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.