Individual provider Active NPI

Elisa Laura Bachmann

  • Mental Health Counselor
  • Lake Elmo, MN
National Provider Identifier
1235906413
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone
(651) 379-0444
Fax
(651) 383-4459
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 MN Primary

Addresses

Primary practice location

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Mailing address

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone (651) 379-0444

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
I20250402001546 MN Practitioner - Marriage and Family Therapist 3779006531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bachmann and Associates IncGroup PAC ID 0749271781, 22 clinicians

Practice addresses (Care Compare)

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone 65137904444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4594MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bachmann and Associates, Inc CurrentSince Dec 10, 2023 Accepting new patients
Bachmann and Associates, Inc. Dba Counseling Care CurrentSince Mar 28, 2025 Accepting new patients

Locations

8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1235906413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444",
            "fax_number": "651-383-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8669 EAGLE POINT BLVD",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428628",
            "telephone_number": "651-379-0444",
            "fax_number": "651-383-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMANN",
        "first_name": "ELISA",
        "middle_name": "LAURA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

Verify at the official NPI Registry.