Individual provider Active NPI

Anna Kristina Hauxwell, M.A. LPC, BCBA, LBA

  • Behavior Analyst
  • Brooklyn Center, MN
National Provider Identifier
1366558223
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA1111 Issued in MN
Practice address
6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Phone
(763) 231-9094
NPI assigned
Aug 22, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401009494 MI
Behavior Analyst 103K00000X LBA1111 MN Primary
Behavior Analyst 103K00000X 7401000605 MI
Behavior Analyst 103K00000X 95001009A IN

Addresses

Primary practice location

6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849

Mailing address

6701 Parkway Cir Ste 300
Brooklyn Center, MN 55430-2849
Phone (763) 231-9094

Other identifiers 3

IdentifierTypeStateIssuer
95001009AOtherINBEHAVIORAL ANALYST
7401000605OtherMIBEHAVIOR ANALYST LICENSE
1111OtherMNBEHAVIORAL ANALYST

Other names 1

  • Anna Kristina Eide Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250407001804 MI Practitioner - Mental Health Counselor 7911421458 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7401000605MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sanilac County Community Mental Health Authority CurrentSince Jan 27, 2025 Accepting new patients
Advantage Counseling and Educational Services, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Advantgae Counseling and Educational Professional PastSince Sep 1, 2025 Accepting new patients

Locations

81 N Howard Ave
Croswell, MI 48422
Phone (810) 679-0200

217 E Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-4327

227 E Sanilac Rd
Sandusky, MI 48471

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, 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1366558223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PARKWAY CIR STE 300",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302849",
            "telephone_number": "763-231-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PARKWAY CIR STE 300",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302849",
            "telephone_number": "763-231-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUXWELL",
        "first_name": "ANNA",
        "middle_name": "KRISTINA",
        "name_prefix": "Miss",
        "credential": "M.A. LPC, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009494",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA1111",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000605",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "95001009A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL ANALYST",
            "identifier": "95001009A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST LICENSE",
            "identifier": "7401000605",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL ANALYST",
            "identifier": "1111",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "EIDE",
            "middle_name": "KRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.