Individual provider Active NPI

Emma Kim Rust

  • Social Worker
  • Saint Paul, MN
National Provider Identifier
1033847314
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
31498 Issued in MN
Practice address
1123 Grand Ave
Saint Paul, MN 55105-2885
Phone
(612) 424-2466
Fax
(612) 677-3146
NPI assigned
Aug 12, 2022
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 31498 MN Primary
Clinical Social Worker 1041C0700X 149.028222 IL

Addresses

Primary practice location

1123 Grand Ave
Saint Paul, MN 55105-2885

Mailing address

2138 Marshall Ave
Saint Paul, MN 55104-5756

Other practice location 1

1800 Ravinia Pl
Orland Park, IL 60462-3761
Phone (708) 403-7570

Other names 1

  • Emma Rust Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229000668 IL Practitioner - Clinical Social Worker 2961998075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emotion Management Program LLCGroup PAC ID 8628171360, 5 clinicians

Practice addresses (Care Compare)

1800 Ravinia PL
Orland Park, IL 60462-3761
Phone (708) 403-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Emotion Management Program LLC CurrentSince Nov 13, 2025 Accepting new patients

Locations

1800 Ravinia Pl
Orland Park, IL 60462
Phone (708) 403-7570

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1033847314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 MARSHALL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052885",
            "telephone_number": "612-424-2466",
            "fax_number": "612-677-3146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Ravinia Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623761",
            "country_code": "US",
            "telephone_number": "708-403-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM RUST",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "31498",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "RUST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.