Organization Active NPI

Ayd & Cavanagh, LLC

  • Mental Health Counselor
  • Monticello, MN
National Provider Identifier
1487786539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LP4403 Issued in MN
Legal business name
AYD & CAVANAGH, LLC
Practice address
9007 Kagan Ave NE
Monticello, MN 55362-4535
Phone
(612) 229-1234
Fax
(763) 295-4946
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michele Batkiewicz
Title
Administrator
Phone
(612) 710-3671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LP4403 MN Primary

Addresses

Primary practice location

9007 Kagan Ave NE
Monticello, MN 55362-4535

Mailing address

9007 Kagan Ave NE
Monticello, MN 55362-4535
Phone (612) 229-1234

Other identifiers 1

IdentifierTypeStateIssuer
633K0CAOtherMNBCBS OF MINNESOTA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487786539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 KAGAN AVE NE",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624535",
            "telephone_number": "612-229-1234",
            "fax_number": "763-295-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 KAGAN AVE NE",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624535",
            "telephone_number": "612-229-1234",
            "fax_number": "763-295-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYD & CAVANAGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATKIEWICZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-710-3671"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP4403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "633K0CA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.