Organization Active NPI

Ember & Shore Therapy PLLC

  • Marriage & Family Therapist
  • Blaine, MN
National Provider Identifier
1336094309
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EMBER & SHORE THERAPY PLLC
Practice address
12760 Aberdeen St NE Ste 102
Blaine, MN 55449-5845
Phone
(612) 232-1202
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Lea Rose SemlerNPI 1669790432
Title
Authorized Official
Phone
(612) 232-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

12760 Aberdeen St NE Ste 102
Blaine, MN 55449-5845

Mailing address

5123 County Road 6 NW
Dalbo, MN 55017-8305
Phone (612) 232-1202

National Provider Directory

National Provider Directory

Locations

12760 Aberdeen St NE
Blaine, MN 55449
Phone (786) 493-8568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1336094309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 COUNTY ROAD 6 NW",
            "city": "DALBO",
            "state": "MN",
            "postal_code": "550178305",
            "telephone_number": "612-232-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 102",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "612-232-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER & SHORE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "SEMLER",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "612-232-1202"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.