Individual provider Active NPI

Emily Anne Baran, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Ham Lake, MN
National Provider Identifier
1477420719
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
305345 Issued in MN
Practice address
17565 Central Ave NE Ste 200
Ham Lake, MN 55304-2230
Phone
(612) 567-3599
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
305345MNMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305345 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

17565 Central Ave NE Ste 200
Ham Lake, MN 55304-2230

Mailing address

17565 Central Ave NE Ste 200
Ham Lake, MN 55304-2230
Phone (612) 567-3599

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1477420719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17565 CENTRAL AVE NE STE 200",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553042230",
            "telephone_number": "612-567-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17565 CENTRAL AVE NE STE 200",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553042230",
            "telephone_number": "612-567-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAN",
        "first_name": "EMILY ANNE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.