Individual provider Active NPI

Aubree Rose Elmquist

  • Marriage & Family Therapist
  • Vadnais Heights, MN
National Provider Identifier
1770150948
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4163 Issued in MN
Practice address
1056 Centerville Cir
Vadnais Heights, MN 55127-6344
Phone
(651) 604-7771
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4163 MN Primary

Addresses

Primary practice location

1056 Centerville Cir
Vadnais Heights, MN 55127-6344

Mailing address

1056 Centerville Cir
Vadnais Heights, MN 55127-6344
Phone (651) 604-7771

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
I20240127000171 MN Practitioner - Marriage and Family Therapist 5294188132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parker Collins Family Mental Health PLLCGroup PAC ID 8325338031, 9 clinicians

Practice addresses (Care Compare)

1056 Centerville Cir
Vadnais Heights, MN 55127-6344
Phone (651) 604-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Collins Family Mental Health, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

11316 86th Ave N
Maple Grove, MN 55369
Phone (651) 300-0060

1056 Centerville Cir
Vadnais Heights, MN 55127
Phone (651) 493-2216

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1770150948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276344",
            "telephone_number": "651-604-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276344",
            "telephone_number": "651-604-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMQUIST",
        "first_name": "AUBREE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.