Individual provider Active NPI

Anna Mitie Morgan

  • Mental Health Counselor
  • Edina, MN
National Provider Identifier
1235761255
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
02327 Issued in MN
Practice address
5217 Halifax Ave S
Edina, MN 55424-1402
Phone
(612) 554-5899
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 02327 MN Primary

Addresses

Primary practice location

5217 Halifax Ave S
Edina, MN 55424-1402

Mailing address

5217 Halifax Ave S
Edina, MN 55424-1402
Phone (612) 554-5899

Other practice location 1

8120 Penn Ave S
Bloomington, MN 55431-1358
Phone (612) 554-5899

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
I20250224000504 MN Practitioner - Mental Health Counselor 0547780470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medela Therapy LLC CurrentSince Jun 6, 2021 Accepting new patients
Happy MFT LLC CurrentSince Dec 10, 2025 Accepting new patients
Lyn-Lake Psychotherapy and Wellness LTD. Mental Health CurrentSince Dec 19, 2024 Accepting new patients

Locations

3033 Excelsior Blvd
Ste 370
Minneapolis, MN 55416
Phone (612) 520-1146

2900 Thomas Ave S
Ste 100
Minneapolis, MN 55416

621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1235761255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 HALIFAX AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241402",
            "telephone_number": "612-554-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 HALIFAX AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241402",
            "telephone_number": "612-554-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Penn Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554311358",
            "country_code": "US",
            "telephone_number": "612-554-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ANNA",
        "middle_name": "MITIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.