Emberly Mental Health & Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBERLY MENTAL HEALTH & WELLNESS PLLC

Practice address

10800 Lyndale Ave S Ste 350
Bloomington, MN 55420-5648

Phone

(651) 689-3012

NPI assigned

May 28, 2025

Last updated

Apr 21, 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

Amber Laura Schupp, MA LPCCNPI 1720215171

Title

Owner

Phone

(651) 689-3012

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

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.

• Amber Schupp, M.A., LPCC

  • Mental Health Counselor
  • Bloomington, MN
  • NPI 1720215171
  Medicare reassignment Care Compare group NPD Authorized official
• Scarlett Heather Oconnell, MA, LPCC

  • Professional Counselor
  • Eagan, MN
  • NPI 1073388542
  Medicare reassignment Care Compare group
• Andrew Marc Cameron, LPCC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
  • NPI 1023730827
  Medicare reassignment
• Matthew Steven Carlson, LPC

  • Professional Counselor
  • Eagan, MN
  • NPI 1023290632
  Medicare reassignment
• Mara Jane Fusco, LPCC

  • Professional Counselor
  • Burnsville, MN
  • NPI 1568949774
  Medicare reassignment
• Sara Miller, LPCC

  • Mental Health Counselor
  • Chaska, MN
  • NPI 1235097908
  Medicare reassignment

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1649163874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 1ST ST N # 1047",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437526",
            "telephone_number": "651-689-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205648",
            "telephone_number": "651-689-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 Portland Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553376875",
            "country_code": "US",
            "telephone_number": "651-689-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Long Lake Rd Ste 16",
            "address_purpose": "LOCATION",
            "city": "Mahtomedi",
            "state": "MN",
            "postal_code": "551151200",
            "country_code": "US",
            "telephone_number": "651-689-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMBERLY MENTAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHUPP",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-689-3012",
        "authorized_official_credential": "MA LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.