Pari Semsar

Individual provider Active NPI Professional Counselor · Minneapolis, MN

NPI 1376356956 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1376356956
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4802 (MN)
Practice address
2900 Thomas Ave S Ste 100
Minneapolis, MN 55416-4463
Phone
(612) 979-2276
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250221001333 MN Practitioner - Mental Health Counselor 2062932924 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4802MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyn-Lake Psychotherapy and Wellness LTD. Current
since Feb 1, 2025
Accepting new patients
Clarity Psychology LLC Professional Current Accepting new patients

Locations

2900 Thomas Ave S
Ste 100
Minneapolis, MN 55416

621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4802 MN Yes

Addresses

Primary practice location

2900 Thomas Ave S Ste 100
Minneapolis, MN 55416-4463

Mailing address

2900 Thomas Ave S Ste 100
Minneapolis, MN 55416-4463

Other names

  • Parastoo Semsarilar Former name

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.