Brian David Emmeck

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1000 Shelard Pkwy Ste 520
Saint Louis Park, MN 55426-4932

Phone

(763) 226-5330

NPI assigned

Dec 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Parkdale Therapy Group, LLC

  • Marriage & Family Therapist
  • St Louis Park, MN
  • NPI 1275723777
  Medicare reassignment NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1124835210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 48TH AVE S UNIT 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173706",
            "telephone_number": "763-226-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SHELARD PKWY STE 520",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554264932",
            "telephone_number": "763-226-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMECK",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elm Creek Healthcare Inc
• Eugene Elvecrog
• Kristine Lynn Elvrum, RN
• Mariah Elizabeth Emerson, PT
• Tenbit Emiru, MD, PH.D
• Empowerment Solutions
• Encompass Senior Caregivers, Inc.
• Alyssa Engdahl
• Sean Christopher Engel, MD
• Nicole Engelhart

• Marriage & Family Therapist in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.