Organization Active NPI

Embrace Mental Wellness

  • Marriage & Family Therapist
  • Elk River, MN
National Provider Identifier
1083310940
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EMBRACE MENTAL WELLNESS
Practice address
657 Main St NW
Elk River, MN 55330-1584
Phone
(651) 253-7262
NPI assigned
Feb 2, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Rebecca Bengtson, MANPI 1073967824
Title
LMFT
Phone
(651) 253-7262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

657 Main St NW
Elk River, MN 55330-1584

Mailing address

19884 Polk St NW
Elk River, MN 55330-2276
Phone (651) 253-7262

National Provider Directory

National Provider Directory

Locations

657 Main St NW
Elk River, MN 55330
Phone (651) 253-7262

657 Main St NW
Ste 207
Elk River, MN 55330
Phone (651) 253-7262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1083310940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19884 POLK ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302276",
            "telephone_number": "651-253-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301584",
            "telephone_number": "651-253-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "BENGTSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "651-253-7262",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.