Individual provider Active NPI

Elizabeth Wallace Neu, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1851101752
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC04784 Issued in MN
Practice address
3503 High Point Dr N, Building 3, Suite 203
Saint Paul, MN 55128
Phone
(952) 479-0033
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC04784 MN Primary

Addresses

Primary practice location

3503 High Point Dr N, Building 3, Suite 203
Saint Paul, MN 55128

Mailing address

9065 Juneau Dr
Woodbury, MN 55125-3514
Phone (952) 484-8108

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
I20250303000118 MN Practitioner - Mental Health Counselor 6204357627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC04784MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1851101752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 JUNEAU DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253514",
            "telephone_number": "952-484-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 HIGH POINT DR N, BUILDING 3, SUITE 203",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55128",
            "telephone_number": "952-479-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "ELIZABETH",
        "middle_name": "WALLACE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC04784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.