Organization Active NPI

Athman Counseling Services LLC

  • Mental Health Counselor
  • Becker, MN
National Provider Identifier
1609335728
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ATHMAN COUNSELING SERVICES LLC
Practice address
14068 Bank St
Becker, MN 55308-8865
Phone
(763) 261-6810
NPI assigned
Mar 18, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Anika Athman, LPCCNPI 1689170300
Title
Owner
Phone
(763) 261-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

14068 Bank St
Becker, MN 55308-8865

Mailing address

PO Box 343
Becker, MN 55308-0343

Other identifiers 1

IdentifierTypeStateIssuer
1689170300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809002771 MN Part B Supplier - Clinic/Group Practice 6608314521 Receives reassigned benefits from 2 practitioners
Practice locations: Sauk Rapids, MN

National Provider Directory

National Provider Directory

Locations

14068 Bank St
Becker, MN 55308
Phone (320) 293-2882

100 2nd Ave S
Ste 103
Sauk Rapids, MN 56379
Phone (320) 298-1144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1609335728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553080343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14068 BANK ST",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553088865",
            "telephone_number": "763-261-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHMAN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ATHMAN",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-261-6810",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689170300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Becker, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.