Individual provider Active NPI

Emree Moncur Pugmire, M.S.

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1356465777
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2539 Issued in MN
Practice address
14079 Freeport CT
Apple Valley, MN 55124-5073
Phone
(307) 272-7564
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2539 MN Primary
Marriage & Family Therapist 106H00000X 156 WY

Addresses

Primary practice location

14079 Freeport CT
Apple Valley, MN 55124-5073

Mailing address

14079 Freeport CT
Apple Valley, MN 55124-5073
Phone (307) 272-7564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20241217001213 UT Practitioner - Marriage and Family Therapist 7416484332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
156WYMDClinical Psychologist
2539MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Counseling LLC Marriage & Family Therapist CurrentSince Dec 14, 2024 Accepting new patients

Locations

170 S Interstate Plz
Ste 100
Lehi, UT 84043
Phone (385) 236-4500

360 S 670 W
Ste 100
Lindon, UT 84042
Phone (385) 236-4500

9490 S 300 W
Ste 100
Sandy, UT 84070
Phone (385) 236-4500

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1356465777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14079 FREEPORT CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245073",
            "telephone_number": "307-272-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14079 FREEPORT CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245073",
            "telephone_number": "307-272-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGMIRE",
        "first_name": "EMREE",
        "middle_name": "MONCUR",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2539",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.