Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathaniel Martin Shields

Individual provider Professional Counselor · NPI 1609473990

Nathaniel Martin Shields is a Mental Health Counselor in Chaska, Minnesota. Qualified in 2014, 12 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

111 Hundertmark Rd Ste 205N
Chaska, MN 55318-1586
Phone: (612) 274-7532
Fax: (952) 426-3856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC02597 (MN)

Record details

NPI number1609473990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing address111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chaska