Active NPI
Anya Helgeson
- Developmental Therapist
- Minneapolis, MN
National Provider Identifier
1164879326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- AH05100316P
- Practice address
- 3501 Aldrich Ave S
Minneapolis, MN 55408-4149 - Phone
- (612) 430-2635
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | |||
| Developmental Therapist | 222Q00000X | AH05100316P | IL | Primary |
Addresses
Primary practice location
3501 Aldrich Ave S
Minneapolis, MN 55408-4149
Mailing address
4637 Columbus Ave
Minneapolis, MN 55407-3527
Phone (612) 803-9979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AH05100316P | Other | IL | PROVIDER CONNECTIONS |
Other names 1
- Anya Abrahamson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AH05100316P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1164879326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 COLUMBUS AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073527",
"telephone_number": "612-803-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 ALDRICH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084149",
"telephone_number": "612-430-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELGESON",
"first_name": "ANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "AH05100316P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER CONNECTIONS",
"identifier": "AH05100316P",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANYA",
"last_name": "ABRAHAMSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.