Kara Elisabeth Aguilar, MA, LPCC
Individual provider Active NPI Mental Health Counselor · Fridley, MN
NPI 1285159442 · NPPES record last updated Nov 5, 2020
Key facts
- NPI
- 1285159442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC01383 (MN)
- Practice address
- 7362 University Ave NE Ste 307
Fridley, MN 55432-3150 - Phone
- (651) 439-2059
- Fax
- (888) 675-8262
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Rush Inc
Practice addresses (Care Compare)
1751 Tower Dr W
Suite 200
Stillwater, MN 55082-7596
Phone (651) 439-2059
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109000107 | MN | Practitioner - Mental Health Counselor | 7618328220 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Inc | Current |
Accepting new patients |
Locations
7362 University Ave NE
Ste 307
Fridley, MN 55432
Phone (651) 439-2059
1751 Tower Dr W
Ste 200
Stillwater, MN 55082
Phone (651) 439-2059
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01383 | MN | Yes |
Addresses
Primary practice location
7362 University Ave NE Ste 307
Fridley, MN 55432-3150
Mailing address
588 101St Ave N
Naples, FL 34108-3201
Phone (651) 439-2059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285159442 | Medicaid | MN |
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- Roza S Ahimed
- Zeeshan Ahmad
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All providers in Fridley, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.