Active NPI
Danielle Hjelm, M.A.
- Mental Health Counselor
- Monticello, MN
National Provider Identifier
1740673649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01931
- Practice address
- 9766 Fallon Ave NE Ste 201
Monticello, MN 55362 - Phone
- (763) 732-5541
- Fax
- (763) 322-5026
- NPI assigned
- Mar 17, 2015
- Last updated
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 077116 | IA | |
| Mental Health Counselor | 101YM0800X | CC01931 | MN | Primary |
Addresses
Primary practice location
9766 Fallon Ave NE Ste 201
Monticello, MN 55362
Mailing address
9766 Fallon Ave NE Ste 201
Monticello, MN 55362-4589
Phone (763) 732-5541
Other practice location 1
909 W Pleasant St
Knoxville, IA 50138-2743
Phone (515) 267-1340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 9, 2024 through Feb 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077116 | IA | MD | Mental Health Counselor |
| CC01931 | MN | MD | Mental Health Counselor |
| 1931 | MN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Moments Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Monticello, MN
- NPI 1043505373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1740673649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9766 FALLON AVE NE STE 201",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553624589",
"telephone_number": "763-732-5541",
"fax_number": "763-322-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9766 FALLON AVE NE STE 201",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "55362",
"telephone_number": "763-732-5541",
"fax_number": "763-322-5026"
}
],
"practiceLocations": [
{
"address_1": "909 W Pleasant St",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "IA",
"postal_code": "501382743",
"country_code": "US",
"telephone_number": "515-267-1340",
"fax_number": "515-267-1355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HJELM",
"first_name": "DANIELLE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "077116",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.