Individual provider Active NPI

Erika Rae Heglund, MA, LPCC

  • Professional Counselor
  • Eagan, MN
National Provider Identifier
1881240927
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02167 Issued in MN
Practice address
3450 O Leary Lane
Eagan, MN 55123-5512
Phone
(651) 395-5796
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 CC02167 MN Primary

Addresses

Primary practice location

3450 O Leary Lane
Eagan, MN 55123-5512

Mailing address

3450 O Leary Lane
Eagan, MN 55123
Phone (651) 395-5796

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
I20241028001753 MN Practitioner - Mental Health Counselor 0840723995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Serenity Behavioral Health and Wellness, LLCGroup PAC ID 7810308517, 8 clinicians

Practice addresses (Care Compare)

6375 143Rd St W
Savage, MN 55378-2888
Phone (952) 592-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC02167MNMDProfessional Counselor
2167MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodivergently You Counseling LLC Professional Current Accepting new patients
Serenity Behavioral Health & Wellness LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

6375 W 143rd St
Savage, MN 55378
Phone (952) 592-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1881240927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 O LEARY LANE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55123",
            "telephone_number": "651-395-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 O LEARY LANE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551235512",
            "telephone_number": "651-395-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLUND",
        "first_name": "ERIKA",
        "middle_name": "RAE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.