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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Augustus Kjolhaug reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1915 LYNDALE AVE S
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 60 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
404 W SUPERIOR ST STE 210
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Marriage & Family Therapist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Psychiatric/Mental Health)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Psychologist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Student in an Organized Health Care Education/Training Program
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433

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.

Which organizations bill Medicare for Augustus Kjolhaug's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Augustus Kjolhaug reassigns Medicare benefits to 2 organizations: Catalyst Mental Health, Gbc (Minneapolis, MN) and Two Rivers Counseling LLC (Duluth, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Augustus Kjolhaug's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.