Active NPI
Anna Gusovsky, MS, LPCC
- Professional Counselor
- St Louis Park, MN
National Provider Identifier
1841546280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 768
- Practice address
- 5353 Wayzata Blvd Ste 202
St Louis Park, MN 55416-1316 - Phone
- (612) 423-7032
- Fax
- (612) 341-9079
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 768 | MN | Primary |
Addresses
Primary practice location
5353 Wayzata Blvd Ste 202
St Louis Park, MN 55416-1316
Mailing address
8511 Kirkwood LN N
Maple Grove, MN 55369-4642
Phone (612) 423-7032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 768 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1841546280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 KIRKWOOD LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694642",
"telephone_number": "612-423-7032",
"fax_number": "612-341-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 WAYZATA BLVD STE 202",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161316",
"telephone_number": "612-423-7032",
"fax_number": "612-341-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSOVSKY",
"first_name": "ANNA",
"credential": "MS, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.