Elisa Panchyshyn

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1711 County Road B W Ste 200S
Roseville, MN 55113-4068

Phone

(651) 486-4828

NPI assigned

Aug 3, 2020

Last updated

Aug 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Cook Counseling Services, LLCGroup PAC ID 5991154494, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Counseling Services, LLC

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1093146037
  Medicare reassignment Care Compare group NPD
• Minnesota Renewal Center

  • Counselor
  • Saint Paul, MN
  • NPI 1326165630
  Medicare reassignment NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1538779749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 CLINTON AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231649",
            "telephone_number": "952-491-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 COUNTY ROAD B W STE 200S",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134068",
            "telephone_number": "651-486-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHYSHYN",
        "first_name": "ELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham M Oxnard, MD
• P3R Healthcare Services Inc (P3R Healthcare Services)
• Cynthia Packer, MSW, LICSW
• Erin Elizabeth Palen, DPT
• Alexis Palmquist
• Kushal R Parikh, MD
• Parker Hughes Clinics
• Parker Hughes Clinics
• Suzanne Stephanie Parrino, MD
• Roslyn E Paterson, MA, LPC, BSN, RN

• Professional Counselor in Roseville, MN
• Providers in Roseville, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.