Individual provider Active NPI

Enakshi Choudhuri, PHD, LPCC

  • Mental Health Counselor
  • Minnetonka, MN
National Provider Identifier
1326446998
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
913 Issued in MN
Practice address
14525 Highway 7 Ste 255
Minnetonka, MN 55345-3747
Phone
(763) 577-2489
NPI assigned
Dec 15, 2014
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 913 MN
Mental Health Counselor 101YM0800X 913 MN Primary

Addresses

Primary practice location

14525 Highway 7 Ste 255
Minnetonka, MN 55345-3747

Mailing address

14610 44TH Ave N
Plymouth, MN 55446-2773
Phone (763) 607-1019

Other practice location 1

10501 Wayzata Blvd Ste 204
Minnetonka, MN 55305-1519
Phone (612) 293-0848

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
I20240612001827 MN Practitioner - Mental Health Counselor 4486196961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10505 Wayzata Blvd
Suite 203 7
Minnetonka, MN 55305-1502
Phone (612) 293-0848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
913MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarva Psychotherapy and Wellness LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Monarch Behavioral Health PLLC PastSince Jan 12, 2020 Accepting new patients
Reed Psychological Services, LLC PastSince Jan 12, 2020 Accepting new patients
Associated Clinic of Psychology Inc PastSince Jul 31, 2006 Accepting new patients

Locations

10501 Wayzata Blvd
Ste 204
Minnetonka, MN 55305
Phone (612) 219-7620

10505 Wayzata Blvd
Ste 2037
Minnetonka, MN 55305
Phone (612) 219-7620

Organizations & group practices 4

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1326446998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14610 44TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462773",
            "telephone_number": "763-607-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 255",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453747",
            "telephone_number": "763-577-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Wayzata Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051519",
            "country_code": "US",
            "telephone_number": "612-293-0848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHURI",
        "first_name": "ENAKSHI",
        "credential": "PHD, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "913",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.