Individual provider Active NPI

Elaine Vivian Huselid, M.ED

  • Clinical Social Worker
  • Burnsville, MN
National Provider Identifier
1316000797
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6542 Issued in MN
Practice address
14579 Grand Ave
Suite 200
Burnsville, MN 55306-5702
Phone
(952) 797-3169
Fax
(952) 426-1725
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3047 MN
Clinical Social Worker 1041C0700X 6542 MN Primary

Addresses

Primary practice location

14579 Grand Ave
Suite 200
Burnsville, MN 55306-5702

Mailing address

1641 W 140TH St
Burnsville, MN 55337-4418
Phone (952) 797-3169

Other identifiers 4

IdentifierTypeStateIssuer
01020012OtherMNBHP PROVIDER #
14D35HU AND 14D36HUOtherMNBCBS PROVIDER #
62-37268OtherMNUBH PROVIDER #
HP 28356OtherMNHEALTH PARTNER'S PROVIDER

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316000797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 W 140TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374418",
            "telephone_number": "952-797-3169",
            "fax_number": "952-426-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14579 GRAND AVE",
            "address_2": "SUITE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065702",
            "telephone_number": "952-797-3169",
            "fax_number": "952-426-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSELID",
        "first_name": "ELAINE",
        "middle_name": "VIVIAN",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "3047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHP PROVIDER #",
            "identifier": "01020012",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "14D35HU AND 14D36HU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROVIDER #",
            "identifier": "62-37268",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNER'S PROVIDER",
            "identifier": "HP 28356",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.