Individual provider Active NPI

Mikaela Ward

  • Mental Health Counselor
  • Bloomington, MN
National Provider Identifier
1053269779
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC05492 Issued in MN
Practice address
9001 E Bloomington Fwy
Bloomington, MN 55420-3435
Phone
(763) 777-9499
Fax
(763) 373-9463
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC05492 MN Primary

Addresses

Primary practice location

9001 E Bloomington Fwy
Bloomington, MN 55420-3435

Mailing address

9001 E Bloomington Fwy
Bloomington, MN 55420-3435
Phone (763) 777-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC05492MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Wellness, LLC CurrentSince Jun 23, 2026 Accepting new patients

Locations

9001 E Bloomington Fwy
Ste 142
Bloomington, MN 55420
Phone (612) 877-2277

16201 90th St NE
Ste 203
Otsego, MN 55330
Phone (763) 777-9499

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1053269779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203435",
            "telephone_number": "763-777-9499",
            "fax_number": "763-373-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 E BLOOMINGTON FWY",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203435",
            "telephone_number": "763-777-9499",
            "fax_number": "763-373-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MIKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC05492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.