Active NPI 1093336364 Individual Practitioner Male Practitioner

Patrick Fischer Nusbaum

Counselor - Professional • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Patrick Nusbaum is a registered healthcare professional specializing in Counselor - Professional in Saint Cloud, MN. Practice services are available at 108 DOCTORS PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Doctors Park

Saint Cloud, MN 563031207

Telephone 3207743915

Fax 3207743918

Associated Practice Facility / Clinic

🏢 Northway Academy, Inc. Facility NPI 1104333715

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saint Cloud, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.7 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

29 Specialists

Practicing in Saint Cloud, MN (2422 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-03

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO 0023392

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MN 5064

Definition to come...

Secondary Practice Locations

205 14th Ave E

Sartell, MN 563774500

Phone: 3207743436

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Reva Rush Daniels

Behavior Technician

NPI 1003672759

Taylor Payne

Behavior Analyst

NPI 1013678861

Melissa Grossinger

Behavior Technician

NPI 1033843313

Ainsley Apel

Behavior Technician

NPI 1043924996

Hunter Tholkes

Behavior Technician

NPI 1063036630

Meghan Shannon

Behavior Technician

NPI 1063085470

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Counselor (License #0023392 in CO)

✅

NPI Profile Active April 28, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

📍

Updated Business Mailing Address April 28, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

👤

Provider Name / Credentials Updated April 28, 2020

Recorded as PATRICK NUSBAUM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2020

Behavior Technician

🟢

Initial NPI Registration & Enumeration April 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093336364

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 28, 2020

Last Update: August 03, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

108 Doctors Park

Saint Cloud, MN 563031207

Phone: 3207743915

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.