Individual provider Active NPI

Megan Elizabeth Treziok, MPS, LADC, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1992398960
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
03895 Issued in MN
Practice address
701 4TH Ave S Ste 1500
Minneapolis, MN 55415-1637
Phone
(612) 373-9164
Fax
(612) 373-2470
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 305820 MN
Mental Health Counselor 101YM0800X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 03895 MN Primary

Addresses

Primary practice location

701 4TH Ave S Ste 1500
Minneapolis, MN 55415-1637

Mailing address

543 Gotzian St
Saint Paul, MN 55106-5333
Phone (612) 237-4767

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
I20240830000683 MN Practitioner - Mental Health Counselor 8426597709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Affinity Psychological Services PCGroup PAC ID 0749528552, 66 clinicians

Practice addresses (Care Compare)

7551 9TH St N
Suite 100
Oakdale, MN 55128-6628
Phone (612) 268-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305820MNMDAddiction (Substance Use Disorder) Counselor
03895MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Aug 5, 2024 Accepting new patients
Rainbow Health Minnesota PastSince Aug 13, 2023 Accepting new patients
Rainbow Health Minnesota PastSince Feb 1, 2021 Accepting new patients

Locations

7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

7551 9th St N
Ste 100
Saint Paul, MN 55128
Phone (651) 747-4328

Organizations & group practices 3

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1992398960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 GOTZIAN ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065333",
            "telephone_number": "612-237-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 4TH AVE S STE 1500",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151637",
            "telephone_number": "612-373-9164",
            "fax_number": "612-373-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZIOK",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "MPS, LADC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305820",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "03895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.