Active NPI
Amber Marie Remackel
- Mental Health Counselor
- Roseville, MN
National Provider Identifier
1093485294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1611 County Road B W Ste 312
Roseville, MN 55113-4107 - Phone
- (651) 243-0077
- Fax
- (651) 273-2201
- NPI assigned
- Sep 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1611 County Road B W Ste 312
Roseville, MN 55113-4107
Mailing address
1611 County Rd B W, Ste 312
Roseville, MN 55113-4107
Phone (651) 243-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep River Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1611 County Road B W
Ste 201
Saint Paul, MN 55113
1611 County Road B W
Ste 312
Saint Paul, MN 55113
Phone (651) 243-0077
5861 Cedar Lake Rd S
St Louis Park, MN 55416
Phone (612) 202-8703
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1093485294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 COUNTY RD B W, STE 312",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134107",
"telephone_number": "651-243-0077",
"fax_number": "651-273-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 COUNTY ROAD B W STE 312",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134107",
"telephone_number": "651-243-0077",
"fax_number": "651-273-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMACKEL",
"first_name": "AMBER",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-18",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.