Emerald Services & Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMERALD SERVICES & COUNSELING LLC

Practice address

1065 24TH Ave SW Ste 118
Owatonna, MN 55060-5063

Phone

(507) 215-8310

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Mandy Doocy, LICSWNPI 1629651856

Title

Owner

Phone

(507) 530-5084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandy Doocy, LICSW

  • Clinical Social Worker
  • Owatonna, MN
  • NPI 1629651856
  Medicare reassignment NPD Authorized official
• Annette Marlene Warner, LICSW

  • Clinical Social Worker
  • Albert Lea, MN
  • NPI 1124608658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1487387296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550600159",
            "telephone_number": "507-215-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 24TH AVE SW STE 118",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605063",
            "telephone_number": "507-215-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD SERVICES & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "DOOCY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-530-5084",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andrew Egan, LADC
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• Kurt Daniel Erickson, DDS
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• Experiencing Moore, PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.