Theodore Surdy, LPCC
NPI 1629663919 · Mental Health Counselor · Mankato, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Surdy, LPCC is a Mental Health Counselor provider in Mankato, MN (NPI 1629663919).
Provider details
- NPI number
- 1629663919
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- No
- License
- CC02690 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Frequently asked questions
- What is Theodore Surdy's NPI number?
- Theodore Surdy's National Provider Identifier (NPI) is 1629663919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Surdy's specialty?
- Theodore Surdy is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Theodore Surdy located?
- Theodore Surdy's practice location on file with NPPES is 1207 Caledonia St, Mankato, MN 56001-4329.
- What is Theodore Surdy's phone number?
- The practice phone number listed in the NPPES registry for Theodore Surdy is (507) 388-8874.
- Does Theodore Surdy accept Medicare?
- Theodore Surdy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Surdy's NPI active?
- Yes — Theodore Surdy's NPI (1629663919) is active in the NPPES registry as of the last update on 2021-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.