Individual provider Active NPI

Anna Patricia Panaligan Grgurovic, LPCC

  • Professional Counselor
  • Red Wing, MN
National Provider Identifier
1720823784
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
124 Tyler Rd S
Red Wing, MN 55066-1733
Phone
(651) 977-5001
Fax
(651) 977-5002
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 Primary

Addresses

Primary practice location

124 Tyler Rd S
Red Wing, MN 55066-1733

Mailing address

124 Tyler Rd S
Red Wing, MN 55066-1733
Phone (651) 977-5001

Other names 1

  • Anna Patricia Cannon Panaligan Former name

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
I20250103002633 MN Practitioner - Mental Health Counselor 8224566252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4696MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Consider It Wellness LLC Professional Current Accepting new patients
Nystrom & Associates, LTD CurrentSince Dec 1, 2024 Accepting new patients

Locations

124 Tyler Rd S
Red Wing, MN 55066
Phone (651) 977-5001

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 2

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1720823784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 TYLER RD S",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661733",
            "telephone_number": "651-977-5001",
            "fax_number": "951-977-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TYLER RD S",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661733",
            "telephone_number": "651-977-5001",
            "fax_number": "651-977-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGUROVIC",
        "first_name": "ANNA PATRICIA",
        "middle_name": "PANALIGAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA PATRICIA",
            "last_name": "PANALIGAN",
            "middle_name": "CANNON",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

Verify at the official NPI Registry.