Active NPI
Rachel Elizabeth Weber
- Professional Counselor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC05061
- Practice address
- 2125 E Hennepin Ave Ste 100
Minneapolis, MN 55413-1763 - Phone
- (612) 217-2055
- NPI assigned
- Jul 17, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC05061 | MN | Primary |
Addresses
Primary practice location
2125 E Hennepin Ave Ste 100
Minneapolis, MN 55413-1763
Mailing address
2125 E Hennepin Ave Ste 100
Minneapolis, MN 55413-1763
Phone (612) 217-2055
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1370 Mendota Heights Rd
Mendota Heights, MN 55120-1128
13890 McKenna Rd NW
Prior Lake, MN 55379-7537
1900 Silver Lake NWRD
Suite 110
New Brighton, MN 55112-1789
1900 Silver Lake Rd NW
Suite 110
New Brighton, MN 55112-1789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC05061 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients |
Locations
1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447
2125 E Hennepin Ave
Ste 100
Minneapolis, MN 55413
Phone (612) 217-2055
1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080
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.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1962394544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 E HENNEPIN AVE STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131763",
"telephone_number": "612-217-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 E HENNEPIN AVE STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131763",
"telephone_number": "612-217-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC05061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.