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

Individual provider Mental Health Counselor · NPI 1629663919

Theodore Nash Surdy, LPCC is a Mental Health Counselor in Mankato, Minnesota. Qualified in 2017, 9 years ago. Practices with Surdy Psychological Services LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2021
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1207 Caledonia St
Mankato, MN 56001-4329
Phone: (507) 388-8874
Fax: (507) 625-4807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC02690 (MN)

Record details

NPI number1629663919
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address1207 Caledonia St, Mankato, MN 56001-4329

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Surdy Psychological Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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