AURORA LAKE MENTAL HEALTH PLLC
NPI 1871467290
Counselor - Mental Health in Wayzata, MN
About Aurora Lake Mental Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AURORA LAKE MENTAL HEALTH PLLC (NPI 1871467290) is a healthcare organization registered as a mental health in Wayzata, Minnesota and active in the NPI registry since September 2025. The organization lists Jill E Salo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aurora Lake Mental Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Aurora Lake Mental Health PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aurora Lake Mental Health PLLC's NPI number?
The NPI number for Aurora Lake Mental Health PLLC is 1871467290. It was assigned to this organization in the NPPES registry on September 30, 2025.
Where is Aurora Lake Mental Health PLLC located?
Aurora Lake Mental Health PLLC is located at 205 Barry Ave S Apt 313, Wayzata, MN 55391. The listed phone number is (952) 479-0640.
What is Aurora Lake Mental Health PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Aurora Lake Mental Health PLLC enrolled in Medicare?
Yes. Aurora Lake Mental Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aurora Lake Mental Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Aurora Lake Mental Health PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aurora Lake Mental Health PLLC was last updated on October 7, 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.
# Aurora Lake Mental Health Pllc · NPI 1871467290
Mental Health organization in Wayzata, Minnesota. Organization record, active in the CMS NPPES registry since September 30, 2025.
## Identity
- **NPI:** 1871467290 (Entity type: Organization)
- **Enumerated:** September 30, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jill Salo, OWNER
## Practice location
- **Address:** 205 BARRY AVE S APT 313, Wayzata, MN 55391-1641
- **Phone:** (952) 479-0640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871467290) · Data from the CMS NPPES public registry.