PENELOPE IVY NELSON LADC
NPI 1710640032
Counselor - Addiction (Substance Use Disorder) in Winnebago, MN

Q: What is Penelope Nelson's NPI number?

The NPI number for Penelope Nelson is 1710640032. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Q: What is Penelope Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Penelope Nelson was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 14, 2021

132 1ST AVE SE, WINNEBAGO, MN 56098(612) 877-0276 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Penelope Ivy Nelson Ladc NPPES

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

PENELOPE IVY NELSON LADC (NPI 1710640032) is an individual addiction (substance use disorder) provider in Winnebago, Minnesota, licensed in Minnesota (305553) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1710640032

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NamePENELOPE IVY NELSONCredential: LADC

Location Address132 1ST AVE SEWinnebago, MN 56098-1052

Mailing Address132 1st Ave SeWinnebago, MN 56098-1052 · (612) 877-0276

Phone(612) 877-0276

Sole ProprietorYes

Enumeration DateOctober 14, 2021

NPPES CertifiedOctober 14, 2021

✔ NPI 1710640032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 305553

132 1ST AVE SE, Winnebago, MN 56098

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Penelope Nelson's NPI number?

The NPI number for Penelope Nelson is 1710640032. It was assigned to this individual provider in the NPPES registry on October 14, 2021.

Where is Penelope Nelson located?

Penelope Nelson practices at 132 1st Ave SE, Winnebago, MN 56098. The listed phone number is (612) 877-0276.

What is Penelope Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Penelope Nelson was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.