Individual provider Active NPI

Amber Marie Remackel

  • Mental Health Counselor
  • Roseville, MN
National Provider Identifier
1093485294
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Deep River Counseling LLC Mental Health CurrentSince Mar 1, 2024 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.

Verify at the official NPI Registry.