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AUGUSTUS KJOLHAUG MA
NPI 1114641537
Counselor - Professional in Coon Rapids, MN

Active since September 29, 2022PECOS EnrolledAccepts Medicare Assignment
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Augustus Kjolhaug Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTUS KJOLHAUG MA (NPI 1114641537) is an individual professional provider in Coon Rapids, Minnesota and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Duluth, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114641537
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameAUGUSTUS KJOLHAUGCredential: MA
Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638
Mailing Address11610 Tulip St Nw Apt 208Coon Rapids, MN 55433-2654 · (218) 343-2611
Phone(763) 767-3350
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2022
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1114641537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433
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Secondary Practice Location 1

Location 11502 London Rd Ste 205Duluth, MN 55812-1788 · Phone (800) 336-5973 ext. 5 · Fax (612) 234-4689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Augustus Kjolhaug Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183108707
PECOS Enrollment IDI20260323000567
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH EILTS
Social Worker (Clinical)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MELANIE CARLSON-KAPPES MA, LMFT
Marriage & Family Therapist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CHARLES LOCHNER MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MIRANDA K LUTTERMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CALSI GILBERTSON
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CATHERINE JANE LUITJENS LP
Psychologist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MR. STEPHEN PAUL MONTRY LADC
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
KATHERINE TUCKER
Student in an Organized Health Care Education/Training Program
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (212) 217-3467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augustus Kjolhaug's NPI number?

The NPI number for Augustus Kjolhaug is 1114641537. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Augustus Kjolhaug located?

Augustus Kjolhaug practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.

What is Augustus Kjolhaug's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Augustus Kjolhaug enrolled in Medicare?

Yes. Augustus Kjolhaug is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Augustus Kjolhaug accept?

Health plans from HealthPartners list Augustus Kjolhaug as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Augustus Kjolhaug was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.