September Aurora Prushek

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

13782 Bluestem CT Ste 100
Baxter, MN 56425-8768

Phone

(218) 833-9107

NPI assigned

Sep 26, 2022

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

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: sprushek@elliementalhealth.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1821711672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23684 COUNTY ROAD 4 # CABIN5",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682230",
            "telephone_number": "218-838-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13782 BLUESTEM CT STE 100",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258768",
            "telephone_number": "218-833-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Sauk Rapids",
            "state": "MN",
            "postal_code": "563792533",
            "country_code": "US",
            "telephone_number": "651-313-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSHEK",
        "first_name": "SEPTEMBER",
        "middle_name": "AURORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SPrushek@elliementalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13782 Bluestem Ct Ste 100",
            "city": "Baxter",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564258768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Pooler
• Jacob R Poppinga, LADC
• Abigail Portz
• Alicia M Prahm, M.D.
• Preferred Eyecare, Inc.
• Gabriel Raguse, PT
• Mackenzie Rahnenfuehrer
• Torvin Rajala, OD
• Jesse Ramirez
• Trisha Marie Rau, CNP

• Mental Health Counselor in Baxter, MN
• Providers in Baxter, 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 Sep 26, 2022; 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.