MRS. ALETHIA MOUA LICSW
NPI 1174920599
Counselor - Mental Health in New Hope, MN

Active since December 01, 2014PECOS Enrolled
9220 BASS LAKE RD, NEW HOPE, MN 55428(763) 225-4052(888) 965-5130 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Alethia Moua Licsw NPPES

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

MRS. ALETHIA MOUA LICSW (NPI 1174920599) is an individual mental health provider in New Hope, Minnesota, licensed in (LP1163) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Centerville.

NPPES Registry Identity

NPI1174920599
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ALETHIA MOUACredential: LICSW
Location Address9220 BASS LAKE RDNew Hope, MN 55428-3000
Mailing Address9220 Bass Lake RdNew Hope, MN 55428-3000 · (763) 225-4052 · Fax (888) 965-5130
Fax(888) 965-5130
Sole ProprietorNo
Enumeration DateDecember 1, 2014
Last NPPES UpdateMay 29, 2019
✔ NPI 1174920599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · LP1163
9220 BASS LAKE RD, New Hope, MN 55428

Secondary Practice Location 1

Location 17041 20th AveCenterville, MN 55038-9737 · Phone (651) 407-3631

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Alethia Moua Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Alethia Moua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
9220 BASS LAKE RD STE 255
New Hope, MN 55428
  • Reassigned Medicare billing, Minnesota enrollment
  • 12 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 17

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

Physical Therapist (Pediatrics)
9220 BASS LAKE RD, SUITE 260
NEW HOPE, MN 55428
Family Medicine
9220 BASS LAKE RD
NEW HOPE, MN 55428
Clinic/Center
9220 BASS LAKE RD, SUITE 350
NEW HOPE, MN 55428
Speech-Language Pathologist
9220 BASS LAKE RD, SUITE 260
NEW HOPE, MN 55428
Occupational Therapist
9220 BASS LAKE RD, #260
MINNEAPOLIS, MN 55428
Home Health
9220 BASS LAKE RD
NEW HOPE, MN 55428
Clinic/Center (Rehabilitation)
9220 BASS LAKE RD, SUITE 260
NEW HOPE, MN 55428
Speech-Language Pathologist
9220 BASS LAKE RD, SUITE 260
NEW HOPE, MN 55428

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 Alethia Moua's NPI number?

The NPI number for Alethia Moua is 1174920599. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Alethia Moua located?

Alethia Moua practices at 9220 Bass Lake Rd, New Hope, MN 55428. The listed phone number is (763) 225-4052.

What is Alethia Moua's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alethia Moua enrolled in Medicare?

Yes. Alethia Moua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alethia Moua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alethia Moua reassigns Medicare benefits to Volunteers Of America Mn/Wi (New Hope, MN). The 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 Alethia Moua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alethia Moua accept?

Health plans from HealthPartners list Alethia Moua 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 Alethia Moua was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.