Elisabeth Emmerich

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

938 Issued in MN

Practice address

6542 Regency LN Ste 210
Eden Prairie, MN 55344-7848

Phone

(612) 564-3402

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2025 through Jan 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Emmerich Counseling LLC

  • Mental Health Counselor
  • Eden Prairie, MN
  • NPI 1003759622
  NPD Authorized official
• Por, LLC

  • Case Management Agency
  • Golden Valley, MN
  • NPI 1336460518
  NPD (past)

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1629469903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 CREEKWOOD DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN STE 210",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447848",
            "telephone_number": "612-564-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERICH",
        "first_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ellingson
• Sarah Elliott
• Ellis Performance & Injury Center
• Jennifer Lynn Elwer, LICSW
• Emmerich Counseling LLC
• Engage Counseling and Psychotherapy
• Engaging Kids Speech-Language Therapy Services
• Zachary Engel
• Bridget Annette Enos, DNP, APRN, FNP-C
• Ann Marie Sinda Equio, DNP

• Professional Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.