Individual provider Active NPI

Emily Marrs, LMFT

  • Marriage & Family Therapist
  • Excelsior, MN
National Provider Identifier
1063877447
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2369 Issued in MN
Practice address
500 2ND St
201
Excelsior, MN 55331-1967
Phone
(612) 554-0100
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2369 MN Primary

Addresses

Primary practice location

500 2ND St
201
Excelsior, MN 55331-1967

Mailing address

500 2ND St
Apt 201
Excelsior, MN 55331-1967
Phone (612) 554-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240316000070 MN Practitioner - Marriage and Family Therapist 9335585009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthwise Psychology PAGroup PAC ID 2567685647, 32 clinicians

Practice addresses (Care Compare)

18205 45TH Ave N
Plymouth, MN 55446-4551
Phone (763) 400-7828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2369MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Psychology, PA CurrentSince Jan 1, 2024 Accepting new patients
Scott M Yarosh, LLC PastSince Dec 15, 2009 Accepting new patients

Locations

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

18205 45th Ave N
Ste C
Plymouth, MN 55446
Phone (651) 478-4099

18205 45th Ave N
Plymouth, MN 55446
Phone (763) 400-7828

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1063877447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 2ND ST",
            "address_2": "APT 201",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311967",
            "telephone_number": "612-554-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 2ND ST",
            "address_2": "201",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311967",
            "telephone_number": "612-554-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRS",
        "first_name": "EMILY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

Verify at the official NPI Registry.