Anna Elizabeth Formella, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4327 Issued in MN

Practice address

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815

Phone

(507) 386-7121

Fax

(507) 344-0690

NPI assigned

Mar 6, 2024

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Journeys Toward Healing Counseling Center LLC

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1306134747
  NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902663875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMELLA",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4327",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Flynn, PHARMD
• Tina Flynn
• Justin M. Foley, MD
• Kaylee Colleen Foley
• Ryan Patrick Foley, M.D.
• Ashley Nicole Forstner, RN, BSN, CDCES
• Frederick A Foss Jr., MD
• Joseph Frank Foss, MD
• Michael W Fraley, MD
• Christine Frances, MS, LMFT, LPCC

• Professional Counselor in Mankato, MN
• Providers in Mankato, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.