Ana M Abugattas, LMFT
Individual provider Active NPI Marriage & Family Therapist · W. St Paul, MN
NPI 1679806335 · NPPES record last updated Apr 2, 2012
Key facts
- NPI
- 1679806335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1775 (MN)
- Practice address
- 153 Cesar Chavez St
W. St Paul, MN 55107-2226 - Phone
- (651) 222-1816
- Fax
- (651) 222-2226
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Side Community Health Services, Inc.
Practice addresses (Care Compare)
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114003503 | MN | Practitioner - Marriage and Family Therapist | 8224490388 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1775 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Side Community Health Services, Inc. | Current | Accepting new patients | |
| West Side Community Health Services, Inc. | Current |
Accepting new patients | |
| West Side Community Health Services, Inc. | Current |
Accepting new patients |
Locations
895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250
153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816
Interoperability endpoints
- aabugattas732982@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1775 | MN | Yes |
Addresses
Primary practice location
153 Cesar Chavez St
W. St Paul, MN 55107-2226
Mailing address
153 Cesar Chavez St
W. St. Paul, MN 55107-2226
Phone (651) 222-1816
Other providers in W. St Paul, MN
All providers in W. St Paul, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.