Active NPI
Emily Marsden
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1043617863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC00873
- Practice address
- 305 5TH Ave N Ste 445
Minneapolis, MN 55401-5407 - Phone
- (612) 460-1024
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00873 | MN | Primary |
Addresses
Primary practice location
305 5TH Ave N Ste 445
Minneapolis, MN 55401-5407
Mailing address
305 5TH Ave N Ste 445
Minneapolis, MN 55401-5407
Phone (612) 460-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00873 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1043617863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 5TH AVE N STE 445",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554015407",
"telephone_number": "612-460-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 5TH AVE N STE 445",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554015407",
"telephone_number": "612-460-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSDEN",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC00873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.