Active NPI
Annika Kristin Walker
- Professional Counselor
- Mahtomedi, MN
National Provider Identifier
1275291791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5140
- Practice address
- 12 Long Lake Rd Ste 16
Mahtomedi, MN 55115-1200 - Phone
- (763) 439-4949
- NPI assigned
- Dec 1, 2021
- Last updated
- May 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5140 | MN | Primary |
Addresses
Primary practice location
12 Long Lake Rd Ste 16
Mahtomedi, MN 55115-1200
Mailing address
930 Western Ave N # 16
Saint Paul, MN 55117-5232
Phone (763) 439-4949
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Oleary LN
Eagan, MN 55123-2340
Phone (651) 454-0114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5140 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagan Counseling Clinic | Single Specialty | Current | Accepting new patients |
Locations
2785 White Bear Ave N
Ste 403
Maplewood, MN 55109
Phone (651) 365-8289
3450 Oleary Ln
Saint Paul, MN 55123
Phone (651) 454-0114
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": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1275291791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 WESTERN AVE N # 16",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551175232",
"telephone_number": "763-439-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LONG LAKE RD STE 16",
"city": "MAHTOMEDI",
"state": "MN",
"postal_code": "551151200",
"telephone_number": "763-439-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANNIKA",
"middle_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "5140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahtomedi, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.