TEAL NELSON (NPI# 1184235053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184235053 |
| Entity Type | Individual |
| Full Name | TEAL NELSON |
| Credential | LAC |
| Practice Address |
515 19th Ave Se Minot ND 58701-6634 |
| Practice Telephone | 7018374989 |
| Practice Fax Number | 7018379660 |
| Mailing Telephone | 7018374989 |
| Mailing Fax Number | 7018379660 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1796 | ND | Behavioral Health & Social Service Providers |
| Street Address |
515 19TH AVE SE |
| City | MINOT |
| State | ND |
| Zip Code | 58701-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1740814045 | Lisa Marie Voeller | Counselor | 1905 2nd St Se Ste 18, Minot, ND 58701-6566 | 2020-02-25 |
| 1194358366 | Robert M Hayes | Counselor | 7 3rd St Se Ste 109, Minot, ND 58701-3916 | 2020-02-17 |
| 1659926681 | Faa Addiction Services | Counselor | 900 N Broadway Ste 111, Minot, ND 58703-2378 | 2019-08-06 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1356792816 | Community Medical Services Montana-private, LLC | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2016-06-27 |
| 1851653430 | Amber Ann Twogood | Counselor | 1015 South Broadway Suite 18, Minot, ND 58701-4667 | 2012-06-11 |
| 1568577617 | Teri E Lendzion | Counselor | 400 22nd Ave Nw, Minot, ND 58703-1031 | 2006-08-20 |
| 1679504575 | Vicki A Jones | Counselor | 1809 S Broadway Ste S, Minot, ND 58701-6567 | 2006-07-06 |
| 1871104711 | Rodney James Nogosek | Counselor | 407 3rd St Se, Minot, ND 58701-4470 | 2020-08-13 |
| Find all providers in MINOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.