Aimee Mona Meligy
Individual provider Active NPI Professional Counselor · Bloomington, MN
NPI 1831610591 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1831610591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1489 (MN)
- Practice address
- 8120 Penn Ave S Ste 400
Bloomington, MN 55431-1311 - Phone
- (800) 336-5973
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carver County
Practice addresses (Care Compare)
540 E 1St St
Waconia, MN 55387-1601
Phone (952) 442-4437
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219003342 | MN | Practitioner - Mental Health Counselor | 5799129672 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1489 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carver County | Current |
Accepting new patients |
Locations
540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1489 | MN | Yes |
Addresses
Primary practice location
8120 Penn Ave S Ste 400
Bloomington, MN 55431-1311
Mailing address
2124 Dupont Ave S
Minneapolis, MN 55405-2700
Phone (800) 336-5953
Other practice location 1
2124 DuPont Ave S
Minneapolis, MN 55405-2700
Phone (800) 335-5973
Other providers in Bloomington, MN
- Andrew N Meister
- Carla Mejia
- Yohana Mekonnen
- Stephanie Melby
- Jill Suzanne Melicher Larson
- Shayna Mellesmoen
- Abbey Mello
- Rebecca J Mellstrom
- Shamyra Tanay Melton
- Deanna Francesca Mendoza
All providers in Bloomington, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.