Individual provider Active NPI

Elliott Manago-Lawler, LICSW

  • Mental Health Counselor
  • Edina, MN
National Provider Identifier
1366086290
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
26467 Issued in MN
Practice address
7600 Parklawn Ave Ste 380
Edina, MN 55435-5156
Phone
(612) 203-2961
Fax
(952) 831-0033
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 26467 MN Primary

Addresses

Primary practice location

7600 Parklawn Ave Ste 380
Edina, MN 55435-5156

Mailing address

7600 Parklawn Ave Ste 380
Edina, MN 55435-5156

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
I20240601000314 MN Practitioner - Clinical Social Worker 2961944269 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MN Mental Health Consulting LLC CurrentSince May 1, 2026 Accepting new patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Dec 7, 2025 Accepting new patients
Minnesota Counseling and Therapy Center, Inc CurrentSince Mar 1, 2024 Accepting new patients
Psychotherapy & Healing Associates Past Accepting new patients
Minnesota Counseling and Therapy Center PastSince Nov 10, 2019 Accepting new patients

Locations

1550 American Blvd E
Ste 550
Bloomington, MN 55425
Phone (612) 504-2031

140 W 98th St
Ste 105
Bloomington, MN 55420
Phone (612) 708-6491

7600 Parklawn Ave
Ste 380
Minneapolis, MN 55435
Phone (612) 203-2961

5221 Viking Dr
Ste 300
Minneapolis, MN 55435
Phone (612) 849-4792

Organizations & group practices 5

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1366086290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE STE 380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE STE 380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355156",
            "telephone_number": "612-203-2961",
            "fax_number": "952-831-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAGO-LAWLER",
        "first_name": "ELLIOTT",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "26467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.