Individual provider Active NPI

Ahnnica Jane Lambrides Baade, LPCC

  • Professional Counselor
  • Milaca, MN
National Provider Identifier
1104318922
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01818 Issued in MN
Practice address
150 10TH St NW Ste 2
Milaca, MN 56353-1737
Phone
(320) 983-2335
NPI assigned
Jun 6, 2018
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01818 MN Primary

Addresses

Primary practice location

150 10TH St NW Ste 2
Milaca, MN 56353-1737

Mailing address

150 10TH St NW Ste 2
Milaca, MN 56353-1737
Phone (218) 434-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003313 MN Practitioner - Mental Health Counselor 3779920046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC01818MNMDProfessional Counselor
1818MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fernbrook Family Center, Inc CurrentSince Mar 2, 2026 Accepting new patients
Lighthouse Child & Family Services CurrentSince Feb 21, 2024 Accepting new patients
Awakened Connections Therapy PastSince Feb 1, 2025 Accepting new patients

Locations

340 Garfield St S
Cambridge, MN 55008
Phone (320) 982-0035

150 10th St NW
#2
Milaca, MN 56353
Phone (320) 983-2335

160 3rd Ave NW
Milaca, MN 56353
Phone (320) 983-2335

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1104318922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 10TH ST NW STE 2",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531737",
            "telephone_number": "218-434-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 10TH ST NW STE 2",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531737",
            "telephone_number": "320-983-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAADE",
        "first_name": "AHNNICA",
        "middle_name": "JANE LAMBRIDES",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milaca, MN

Sources for this page

Verify at the official NPI Registry.