Alethia Moua, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LP1163

Practice address

9220 Bass Lake Rd
New Hope, MN 55428-3000

Phone

(763) 225-4052

Fax

(888) 965-5130

NPI assigned

Dec 1, 2014

Last updated

May 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Volunteers of America MN/Wi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Hope, MN
  • NPI 1093769572
  Medicare reassignment
• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1174920599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "763-225-4052",
            "fax_number": "888-965-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "763-225-4052",
            "fax_number": "888-965-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "MN",
            "postal_code": "550389737",
            "country_code": "US",
            "telephone_number": "651-407-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUA",
        "first_name": "ALETHIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "LP1163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma B Mohs
• Jaime Lea Monson, MSW, LICSW
• Mosaic Family Therapy, LLC
• Mother Teresa Home Care LLC
• Nicole Motz, OTD, OTR/L
• Ellina Andreyevna Mudraya, PTA
• Heather A. Muras, MA, LMFT
• Mya Home Care LLC
• Nedkacare LLC
• Susan K Nelson, MD

• Mental Health Counselor in New Hope, MN
• Providers in New Hope, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.