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ANIKA LAUREN WALSTROM M.ED., LPCC
NPI 1558106948
Counselor - Professional in Moorhead, MN

Active since June 27, 2024PECOS Enrolled
819 30TH AVE S STE 208, MOORHEAD, MN 56560(651) 313-8080 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Jun 27, 2024 (2 updates tracked since 2024).

About Anika Lauren Walstrom M.ed., Lpcc NPPES

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

ANIKA LAUREN WALSTROM M.ED., LPCC (NPI 1558106948) is an individual professional provider in Moorhead, Minnesota, licensed in Minnesota (5001) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558106948
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANIKA LAUREN WALSTROMCredential: M.ED., LPCC
Location Address819 30TH AVE S STE 208Moorhead, MN 56560-5054
Mailing Address819 30th Ave S Ste 208Moorhead, MN 56560-5054
Phone(651) 313-8080
Sole ProprietorNo
Enumeration DateJune 27, 2024
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1558106948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · 5001✔ Licensed in ND · 1208-6-15-22-580
819 30TH AVE S STE 208, Moorhead, MN 56560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anika Lauren Walstrom M.ed., Lpcc 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 Anika Walstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eclectic Therapy Collective PLLC
2.1 mi
Professional
119 4TH ST S
Moorhead, MN 56560
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1366322000 (320) 460-0070

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 11

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

KRISTINA KANDEL
Counselor (Mental Health)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080
SAMANTHA JANE MANSFIELD
Counselor (Mental Health)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 303-8080
DEKLAN SNIDER
Counselor (Mental Health)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080
JOHN A LYON LCSW
Social Worker (Clinical)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080
APRIL KRATCHA
Counselor (Mental Health)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080
ALEXANDRA ERIN WEDE
Student in an Organized Health Care Education/Training Program
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (701) 426-7376
BARBARA K STANTON LPCC
Counselor (Professional)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080
SARAH KLEIN LPCC, NCC, M.ED
Counselor (Professional)
819 30TH AVE S STE 208
MOORHEAD, MN 56560
Clay County (651) 313-8080

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 Anika Walstrom's NPI number?

The NPI number for Anika Walstrom is 1558106948. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Anika Walstrom located?

Anika Walstrom practices at 819 30th Ave S Ste 208, Moorhead, MN 56560. The listed phone number is (651) 313-8080.

What is Anika Walstrom's specialty?

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

Is Anika Walstrom enrolled in Medicare?

Yes. Anika Walstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anika Walstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anika Walstrom reassigns Medicare benefits to Eclectic Therapy Collective PLLC (Moorhead, 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 Anika Walstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anika Walstrom accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Anika Walstrom 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 Anika Walstrom was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.