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JENNICA WANHA MA
NPI 1962066589
Counselor - Mental Health in Big Lake, MN

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
207 JEFFERSON BLVD, BIG LAKE, MN 55309(763) 367-6080 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennica Wanha Ma NPPES

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

JENNICA WANHA MA (NPI 1962066589) is an individual mental health provider in Big Lake, Minnesota and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962066589
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNICA WANHACredential: MA
Location Address207 JEFFERSON BLVDBig Lake, MN 55309-4667
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566
Phone(763) 367-6080
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 29, 2019
✔ NPI 1962066589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
207 JEFFERSON BLVD, Big Lake, MN 55309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Jennica Wanha Ma 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 ID2961853692
PECOS Enrollment IDI20240108000858
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 19

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

CHRIS BRENDEMUHL
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
DANIEL LLOYD MILLER MA LMFT
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MRS. EILEEN MARIE PETERSON MA
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MS. PAIGE MARIE MYHRA MA, LADC
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
THOMAS BRICE RITCHIE BALADC
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
DR. SAARI ANNE MCCORNACK PSYD
Psychologist (Clinical)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 263-7897
ANGELA LEE MCGEE PA-C
Physician Assistant
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 308-8556
MRS. STEPHANIE RUTH WARWAS LICSW
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080

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 Jennica Wanha's NPI number?

The NPI number for Jennica Wanha is 1962066589. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Jennica Wanha located?

Jennica Wanha practices at 207 Jefferson Blvd, Big Lake, MN 55309. The listed phone number is (763) 367-6080.

What is Jennica Wanha's specialty?

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

Is Jennica Wanha enrolled in Medicare?

Yes. Jennica Wanha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennica Wanha accept?

Health plans from HealthPartners list Jennica Wanha 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 Jennica Wanha was last updated on April 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.