Individual provider Active NPI

Amber-Leigh K Rothlisberger

  • Professional Counselor
  • Golden Valley, MN
National Provider Identifier
1730822172
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3276 Issued in MN
Practice address
8401 Wayzata Blvd Ste 150
Golden Valley, MN 55426-1377
Phone
(763) 544-1006
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3276 MN Primary

Addresses

Primary practice location

8401 Wayzata Blvd Ste 150
Golden Valley, MN 55426-1377

Mailing address

2653 Twin Ponds Path
Mayer, MN 55360-7700
Phone (320) 212-5696

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240627000426 MN Practitioner - Mental Health Counselor 7113461575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03276MNMDProfessional Counselor
3276MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hoy & Associates Inc. CurrentSince May 8, 2024 Accepting new patients

Locations

8401 Wayzata Blvd
Ste 150
Minneapolis, MN 55426
Phone (763) 544-1006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1730822172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 TWIN PONDS PATH",
            "city": "MAYER",
            "state": "MN",
            "postal_code": "553607700",
            "telephone_number": "320-212-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 150",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261377",
            "telephone_number": "763-544-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHLISBERGER",
        "first_name": "AMBER-LEIGH",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.