Mountain Psychotherapy & Emdr

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MOUNTAIN PSYCHOTHERAPY & EMDR

Practice address

4580 Scott TRL Ste 210
Eagan, MN 55122-4042

Phone

(763) 722-3468

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Mountain, LICSWNPI 1083350714

Title

Owner/Psychotherapist

Phone

(763) 722-3468

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Mountain, LICSW

  • Clinical Social Worker
  • Eagan, MN
  • NPI 1083350714
  NPD (past) Authorized official

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1558271155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 SCOTT TRL STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224042",
            "telephone_number": "763-722-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 SCOTT TRL STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224042",
            "telephone_number": "763-722-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PSYCHOTHERAPY & EMDR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "763-722-3468",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana C Moran, APRN, FNP-C
• Elvia G Moreta Freire, M.D.
• Tatiana Morris, LPC
• Evan Kendahl Moser-Bleil, M.D.
• Eileen Moses, RN CDE
• Jessica Mountain, LICSW
• Mr.Reliable Transportation LLC
• Rebecca Ann Mrak, BEHAVIORAL THERAPIST
• Melissa Mrozek, MA, LMFT, LADC
• Gary P Muchow, LMFT

• Adult Mental Health Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.