Anika L Athman, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1784 Issued in MN

Practice address

22 Wilson Ave NE Ste 110
Saint Cloud, MN 56304-0440

Phone

(320) 251-7700

Fax

(320) 251-8898

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Athman Counseling Services LLC

  • Mental Health Counselor
  • Becker, MN
  • NPI 1609335728

  MN

  Medicare reassignment NPD Authorized official
• Lutheran Social Service of Minnesota

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
  • NPI 1629192430
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689170300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MAYFLOWER RD NW",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563799515",
            "telephone_number": "320-293-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040440",
            "telephone_number": "320-251-7700",
            "fax_number": "320-251-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14068 Bank St",
            "address_purpose": "LOCATION",
            "city": "Becker",
            "state": "MN",
            "postal_code": "553088865",
            "country_code": "US",
            "telephone_number": "320-293-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHMAN",
        "first_name": "ANIKA",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspire Mental Wellness LLC
• Jeff Randall Asseln
• Tara Lee Asseln, MSW, LICSW
• Susan D Atamian, MD
• Athlos Academy of St. Cloud
• Kelly Jean Benolkin Athman, GENETIC COUNSELOR
• Lynn Athman, OTR
• Rachel Atkinson
• Wendy A Atkinson, MS LP
• Attacure, LLC

• All providers in Saint Cloud, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.