Organization Active NPI

Ainga Mental Health and Consulting LLC

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1851034821
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AINGA MENTAL HEALTH AND CONSULTING LLC
Practice address
7203 Perry CT E
Minneapolis, MN 55429-1202
Phone
(612) 540-0643
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Miller, LICSWNPI 1366743916
Title
Co-Ceo
Phone
(651) 295-9672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7203 Perry CT E
Minneapolis, MN 55429-1202

Mailing address

7203 Perry CT E
Minneapolis, MN 55429-1202
Phone (612) 540-0643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000425 MN Part B Supplier - Clinic/Group Practice 9032583133 Receives reassigned benefits from 14 practitioners
Practice locations: Brooklyn Center, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1851034821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 PERRY CT E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554291202",
            "telephone_number": "612-540-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 PERRY CT E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554291202",
            "telephone_number": "612-540-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINGA MENTAL HEALTH AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "651-295-9672",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.