MRS. ELLIESHA HAHN MA
NPI 1720746589
Counselor - Mental Health in St Louis Park, MN

Active since November 29, 2021PECOS Enrolled
5009 EXCELSIOR BLVD STE 134, ST LOUIS PARK, MN 55416(612) 963-4242(952) 285-4103 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Elliesha Hahn Ma NPPES

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

MRS. ELLIESHA HAHN MA (NPI 1720746589) is an individual mental health provider in St Louis Park, Minnesota and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720746589
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELLIESHA HAHNCredential: MA
Location Address5009 EXCELSIOR BLVD STE 134St Louis Park, MN 55416-3049
Mailing Address5009 Excelsior Blvd Ste 134St Louis Park, MN 55416-3049 · (952) 925-0109 · Fax (952) 285-4103
Fax(952) 285-4103
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1720746589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5009 EXCELSIOR BLVD STE 134, St Louis Park, MN 55416

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. Elliesha Hahn Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254807357
PECOS Enrollment IDI20260416001479
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 Elliesha Hahn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1605 SOUTHCROSS DR W STE 100
Burnsville, MN 55306
  • Reassigned Medicare billing, Minnesota enrollment

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 5

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

Psychologist (Counseling)
5009 EXCELSIOR BLVD STE 134
SAINT LOUIS PARK, MN 55416
Counselor (Mental Health)
5009 EXCELSIOR BLVD STE 134
ST LOUIS PARK, MN 55416
Community/Behavioral Health
5009 EXCELSIOR BLVD STE 134
ST LOUIS PARK, MN 55416
Counselor (Professional)
5009 EXCELSIOR BLVD STE 134
MINNEAPOLIS, MN 55416
Counselor (Professional)
5009 EXCELSIOR BLVD STE 134
ST LOUIS PARK, MN 55416

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 Elliesha Hahn's NPI number?

The NPI number for Elliesha Hahn is 1720746589. It was assigned to this individual provider in the NPPES registry on November 29, 2021.

Where is Elliesha Hahn located?

Elliesha Hahn practices at 5009 Excelsior Blvd Ste 134, St Louis Park, MN 55416. The listed phone number is (612) 963-4242.

What is Elliesha Hahn's specialty?

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

Is Elliesha Hahn enrolled in Medicare?

Yes. Elliesha Hahn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elliesha Hahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elliesha Hahn reassigns Medicare benefits to Bloom Studio And Counseling Services LLC (Burnsville, 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 Elliesha Hahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elliesha Hahn accept?

Health plans from HealthPartners list Elliesha Hahn 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 Elliesha Hahn was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.