Individual provider Active NPI

Malaurie Bluhm, LPCC

  • Mental Health Counselor
  • Roseville, MN
National Provider Identifier
1114585932
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02842 Issued in MN
Practice address
1700 Highway 36 W
Roseville, MN 55113-4034
Phone
(952) 460-9085
NPI assigned
Jun 5, 2019
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X CC02842 MN Primary

Addresses

Primary practice location

1700 Highway 36 W
Roseville, MN 55113-4034

Mailing address

1700 Highway 36 W
Roseville, MN 55113-4034
Phone (952) 460-9085

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
I20240110002511 MN Practitioner - Mental Health Counselor 3072964469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Circle Counseling LLCGroup PAC ID 9638552813, 11 clinicians

Practice addresses (Care Compare)

201 Main St W
Isanti, MN 55040-7137
Phone (763) 600-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02842MNMDMental Health Counselor
2842MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Circle Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

200 5th St NW
Elk River, MN 55330
Phone (763) 241-5436

200 5th St NW
Ste E
Elk River, MN 55330
Phone (507) 456-1349

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, 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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1114585932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "952-460-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "952-460-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUHM",
        "first_name": "MALAURIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-07-28",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.