Individual provider Active NPI

Aida Shahghasemi, MA

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1568100394
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4697 Issued in MN
Practice address
7201 Metro Blvd
Minneapolis, MN 55439-1300
Phone
(612) 314-5017
NPI assigned
May 23, 2022
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4697 MN Primary

Addresses

Primary practice location

7201 Metro Blvd
Minneapolis, MN 55439-1300

Mailing address

7201 Metro Blvd Ste 550
Minneapolis, MN 55439-1353
Phone (612) 314-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4697MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kooh Counseling Mental Health Current Accepting new patients

Locations

7201 Metro Blvd
Ste 550
Minneapolis, MN 55439
Phone (612) 208-6807

Organizations & group practices 1

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1568100394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 METRO BLVD STE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554391353",
            "telephone_number": "612-314-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 METRO BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554391300",
            "telephone_number": "612-314-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHGHASEMI",
        "first_name": "AIDA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.