Individual provider Active NPI

Erika Teachout, LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1366160012
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3783 Issued in MN
Practice address
124 Pebble Creek Dr
Mankato, MN 56001-6458
Phone
(507) 291-8305
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 3783 MN Primary

Addresses

Primary practice location

124 Pebble Creek Dr
Mankato, MN 56001-6458

Mailing address

124 Pebble Creek Dr
Mankato, MN 56001-6458
Phone (507) 291-8305

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
I20240212002800 MN Practitioner - Mental Health Counselor 5496198954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3783MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Minds Mental Health PLLC CurrentSince Jun 1, 2025 Accepting new patients
Nystrom & Associates, LTD PastSince Aug 1, 2022 Accepting new patients
Family Support Services Inc. Mental Health PastSince Apr 29, 2025 Accepting new patients

Locations

1961 Premier Dr
Ste 235
Mankato, MN 56001
Phone (507) 514-8111

Organizations & group practices 3

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1366160012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEBBLE CREEK DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016458",
            "telephone_number": "507-291-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEBBLE CREEK DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016458",
            "telephone_number": "507-291-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEACHOUT",
        "first_name": "ERIKA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.