TIMOTHY JAMES USSET M.DIV., NPI 1831440148 — EDEN PRAIRIE (MN)

NPI 1831440148

7+ Years Experience Individual

TIMOTHY JAMES USSET M.DIV.

09/26/2012
PROVIDER ENUMERATION DATE
09/26/2012
LAST UPDATE DATE
1831440148
NPI NUMBER

About TIMOTHY JAMES USSET

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

TIMOTHY JAMES USSET is a provider established in EDEN PRAIRIE, MN. The NPI number of TIMOTHY JAMES USSET is 1831440148 and was assigned on 09/26/2012. The practitioners primary taxonomy code is: 101YM0800X .

Mailing address

  • City: EDEN PRAIRIE
  • State: MN
  • Postal code: 553441959
  • Phone: 9522242282
  • Fax: 9522242284
  • Address: 7525 MITCHELL RD
  • Address 2: SUITE 100

Primary Practice Address

  • Region : EDEN PRAIRIE, MN
  • NPI : 1831440148
  • Phone : 9522242282
  • Fax : 9522242284
  • Postalcode : 553441959
  • Address : 7525 MITCHELL RD SUITE 100

Provider taxonomy - Counselor

  • Taxonomy code: 101YM0800X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • TIMOTHY JAMES USSET M.DIV.
  • Address : 7525 MITCHELL RD SUITE 100
  • Region : EDEN PRAIRIE, MN
  • NPI : 1831440148
  • Phone : 9522242282
  • Fax : 9522242284
  • Postalcode : 553441959

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address7525 MITCHELL RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 100
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameEDEN PRAIRIE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code553441959
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9522242282
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9522242284
The fax number associated with the location address of the provider being identified.
NPI1831440148
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1101YM0800X
Provider Enumeration Date09/26/2012
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated09/26/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)TIMOTHY JAMES USSET
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address7525 MITCHELL RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE 100
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameEDEN PRAIRIE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code553441959
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9522242282
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9522242284
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1101YM0800X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Counselor
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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