Ingrid Serck-Hanssen, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11108 Zealand Ave N Ste 106
Champlin, MN 55316-3594

Phone

(612) 293-7035

NPI assigned

Dec 11, 2015

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aspiria Partners LLCGroup PAC ID 2567905508, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aspiria Partners LLC

  dba Aspiria Partners

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1982386777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1457726721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 ZEALAND AVE N",
            "address_2": "SUITE 106",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "55316",
            "telephone_number": "612-293-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 ZEALAND AVE N STE 106",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163594",
            "telephone_number": "612-293-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERCK-HANSSEN",
        "first_name": "INGRID",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ann Schultz, MD
• Carla Schultz, M.D.
• Sandra Joanne Schultz, M.D.
• Second Story LLC
• Scott Kent Senne
• Stacy Shermer, PHARMD, RPH
• Shire Counseling LLC
• Shoptikal LLC (Shopko Optical 4229)
• Janet M Siciliano, NP
• Sarah Sidler, PHARMD

• Mental Health Counselor in Champlin, MN
• Providers in Champlin, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.

Verify at the official NPI Registry.