Organization Active NPI

Aria Counseling Assessment and Mediation Centers PLLC

  • Psychologist
  • Fridley, MN
National Provider Identifier
1649613837
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0295 Issued in MN
Legal business name
ARIA COUNSELING ASSESSMENT AND MEDIATION CENTERS PLLC
Practice address
7260 University Ave NE Ste 235
Fridley, MN 55432-3141
Phone
(763) 572-2605
NPI assigned
Apr 8, 2013
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Richard Allen McLellan, M.S., L.P.NPI 1932408549
Title
Licensed Psychologist
Phone
(763) 572-2605

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
Psychologist 103T00000X 0295 MN Primary

Addresses

Primary practice location

7260 University Ave NE Ste 235
Fridley, MN 55432-3141

Mailing address

7260 University Ave NE Ste 235
Fridley, MN 55432-3141
Phone (763) 572-2605

Other practice location 1

3249 Hennepin Ave Ste 144
Minneapolis, MN 55408-3411
Phone (763) 572-2612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312001555 MN Part B Supplier - Clinic/Group Practice 0244460251 Receives reassigned benefits from 4 practitioners
Practice locations: Fridley, MN

National Provider Directory

National Provider Directory

Locations

3249 Hennepin Ave
Minneapolis, MN 55408
Phone (952) 400-7878

7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1649613837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE STE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323141",
            "telephone_number": "763-572-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE STE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323141",
            "telephone_number": "763-572-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 Hennepin Ave Ste 144",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083411",
            "country_code": "US",
            "telephone_number": "763-572-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIA COUNSELING ASSESSMENT AND MEDIATION CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-572-2605",
        "authorized_official_credential": "M.S., L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "0295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.