Active NPI
Ronda Marie Disch
- Mental Health Counselor
- Elk River, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1306
- Practice address
- 11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884 - Phone
- (763) 333-8001
- NPI assigned
- Sep 12, 2014
- Last updated
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1306 | MN | Primary |
Addresses
Primary practice location
11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884
Mailing address
657 Main St NW Ste 5
Elk River, MN 55330-1584
Phone (763) 333-8001
Other practice location 1
4505 White Bear Pkwy Ste 2200
White Bear Lake, MN 55110-3699
Phone (763) 333-8001
Other names 1
- Ronda Cooper
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ronda@emergencebh.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1306 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacetree Family Institute LTD | Current | Accepting new patients | |
| Alpha Service Industries, Inc. | Current | Accepting new patients | |
| Forensic Mental Health Specialists | Current | Accepting new patients |
Locations
199 Coon Rapids Blvd NW
Ste 102
Coon Rapids, MN 55433
2121 Cliff Dr
Ste 218
Eagan, MN 55122
11090 183rd Cir NW
Ste C
Elk River, MN 55330
Phone (763) 777-1381
657 Main St NW
Ste 5
Elk River, MN 55330
825 Nicollet Mall
Ste 1050
Minneapolis, MN 55402
Phone (612) 217-0447
14 7th Ave N
Saint Cloud, MN 56303
Phone (320) 259-4014
4505 White Bear Pkwy
Ste 2200
White Bear Lake, MN 55110
Phone (612) 590-3190
Organizations & group practices 3
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.
-
dba Emergence Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elk River, MN
- NPI 1396246898
-
dba Alpha Emergence Behavioral Health
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1326172057
-
- Clinical Psychologist
- Elk River, MN
- NPI 1053002881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1861893505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 MAIN ST NW STE 5",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301584",
"telephone_number": "763-333-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11090 183RD CIR NW STE C",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302884",
"telephone_number": "763-333-8001"
}
],
"practiceLocations": [
{
"address_1": "4505 White Bear Pkwy Ste 2200",
"address_purpose": "LOCATION",
"city": "White Bear Lake",
"state": "MN",
"postal_code": "551103699",
"country_code": "US",
"telephone_number": "763-333-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISCH",
"first_name": "RONDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ronda@emergencebh.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11090 183rd Cir NW Ste C",
"city": "Elk River",
"state": "MN",
"country_code": "US",
"postal_code": "553302884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RONDA",
"last_name": "COOPER",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.