Individual provider Active NPI

Aimee Mona Meligy

  • Professional Counselor
  • Bloomington, MN
National Provider Identifier
1831610591
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1489 Issued in MN
Practice address
8120 Penn Ave S Ste 400
Bloomington, MN 55431-1311
Phone
(800) 336-5973
NPI assigned
Jul 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1489 MN Primary

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

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
I20240219003342 MN Practitioner - Mental Health Counselor 5799129672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CountyGroup PAC ID 8527041961, 9 clinicians

Practice addresses (Care Compare)

540 E 1St St
Waconia, MN 55387-1601
Phone (952) 442-4437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1489MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carver County CurrentSince Jan 5, 2024 Accepting new patients

Locations

540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831610591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052700",
            "telephone_number": "800-336-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S STE 400",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311311",
            "telephone_number": "800-336-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 DuPont Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554052700",
            "country_code": "US",
            "telephone_number": "800-335-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELIGY",
        "first_name": "AIMEE",
        "middle_name": "MONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.