Elliesha Hahn, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5009 Excelsior Blvd Ste 134
St Louis Park, MN 55416-3049

Phone

(612) 963-4242

Fax

(952) 285-4103

NPI assigned

Nov 29, 2021

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Bloom Studio and Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
  • NPI 1689427775
  Medicare reassignment NPD Authorized official
• Franklin Family Services LLC

  • Community/Behavioral Health Agency
  • St Louis Park, MN
  • NPI 1679870570
  NPD
• Lacuna for Integrative Therapies

  • Cognitive & Behavioral Psychologist
  • St. Louis Park, MN
  • NPI 1629108410
  NPD (past)

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1720746589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 134",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163049",
            "telephone_number": "952-925-0109",
            "fax_number": "952-285-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 134",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163049",
            "telephone_number": "612-963-4242",
            "fax_number": "952-285-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "ELLIESHA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Day Hagen, CRNA
• Julia Hagen
• Melanie Jayne Hagen, M.A. CCC-SLP
• Meghan Janssen Hager, OTR/L, CLT
• Trent William Hagstrom
• Kulsoom Haider
• Howard Haines, MD
• Ashleigh Hakala
• Denise K Haldorson, LICSW
• Briley Hale

• Mental Health Counselor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.