Active NPI
Emma Kim Rust
- Social Worker
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 31498
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emotion Management Program LLC | Current | 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.
-
dba Emotion Management Program
- Clinical Psychologist
- Orland Park, IL
- NPI 1083780522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.