MISTY JEANNE COONAN MA, LADC
NPI 1427664549
Counselor - Professional in Chaska, MN

Q: What is Misty Coonan's NPI number?

The NPI number for Misty Coonan is 1427664549. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Q: What is Misty Coonan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Coonan was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 23, 2020PECOS EnrolledAccepts Medicare Assignment

1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318(952) 395-1441(952) 395-1442 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, Sep 23, 2020 (2 updates tracked since 2020).

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About Misty Jeanne Coonan Ma, Ladc NPPES

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

MISTY JEANNE COONAN MA, LADC (NPI 1427664549) is an individual professional provider in Chaska, Minnesota, licensed in Minnesota (3905) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427664549

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISTY JEANNE COONANCredential: MA, LADC

Location Address1107 HAZELTINE BLVD STE 370Chaska, MN 55318-1009

Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411

Phone(952) 395-1441

Fax(952) 395-1442

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 23, 2020

Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1427664549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 3905

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305416 (MN)

1107 HAZELTINE BLVD STE 370, Chaska, MN 55318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Misty Jeanne Coonan Ma, Ladc 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 ID5698264737

PECOS Enrollment IDI20251029003337

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 13

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

COREEN TRACEE JANDER MA (LPCC-TX)

Counselor (Professional)