Nicholas Alexander Minotte
Counselor, Professional in St Louis Park, MN. Individual provider (NPI-1).
NPI number1174485643
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1174485643
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Alexander Minotte
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2025
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
5353 Wayzata Blvd Ste 200St Louis Park, MN 55416-1338
Phone 833-934-0244
Mailing address
14610 Embry PathApple Valley, MN 55124-6669
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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