Individual provider Active NPI

Ana Isabel Spence Alguire, MED, LPCC

  • Professional Counselor
  • Lake Elmo, MN
National Provider Identifier
1639419286
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00445 Issued in MN
Practice address
11550 Stillwater Blvd N Ste 105B
Lake Elmo, MN 55042-8613
Phone
(320) 342-0897
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC00445 MN Primary

Addresses

Primary practice location

11550 Stillwater Blvd N Ste 105B
Lake Elmo, MN 55042-8613

Mailing address

11550 Stillwater Blvd N Ste 105B
Lake Elmo, MN 55042-8613
Phone (320) 342-0897

Other identifiers 1

IdentifierTypeStateIssuer
CC00445MedicaidMN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240821001580 MN Practitioner - Mental Health Counselor 1658819685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11240 Stillwater Blvd N
Suite 11
Lake Elmo, MN 55042-9321
Phone (320) 342-0897

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapeutic Resources LLP CurrentSince Jun 8, 2024 Accepting new patients
Ana S Alguire Counseling LLC Professional CurrentSince Oct 27, 2024 Accepting new patients
Stephen Jenkins PHD Abpp LP PLLC PastSince Aug 29, 2021 Accepting new patients

Locations

11550 Stillwater Blvd N
Ste 105B
Lake Elmo, MN 55042
Phone (320) 342-0897

11240 Stillwater Blvd N
Ste 11
Lake Elmo, MN 55042
Phone (320) 342-0897

11550 Stillwater Blvd N
Ste 11
Lake Elmo, MN 55042

1411 W Saint Germain St
Ste 105
Saint Cloud, MN 56301
Phone (320) 253-3715

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1639419286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 STILLWATER BLVD N STE 105B",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428613",
            "telephone_number": "320-342-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 STILLWATER BLVD N STE 105B",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428613",
            "telephone_number": "320-342-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE ALGUIRE",
        "first_name": "ANA",
        "middle_name": "ISABEL",
        "credential": "MED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC00445",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

Verify at the official NPI Registry.