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EMMALYNN PEPPER CLEMMENSEN MS, LPCC, CRC
NPI 1053831248
Counselor - Mental Health in Buffalo, MN

Active since June 20, 2017PECOS Enrolled
308 12TH AVE S, BUFFALO, MN 55313(763) 682-4400 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emmalynn Pepper Clemmensen Ms, Lpcc, Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMALYNN PEPPER CLEMMENSEN MS, LPCC, CRC (NPI 1053831248) is an individual mental health provider in Buffalo, Minnesota, licensed in Minnesota (CC01534) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053831248
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMMALYNN PEPPER CLEMMENSENCredential: MS, LPCC, CRC
Location Address308 12TH AVE SBuffalo, MN 55313-2321
Mailing Address308 12th Ave SBuffalo, MN 55313-2321 · (763) 682-4400
Phone(763) 682-4400
Sole ProprietorNo
Enumeration DateJune 20, 2017
✔ NPI 1053831248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC01534
308 12TH AVE S, Buffalo, MN 55313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmalynn Pepper Clemmensen Ms, Lpcc, Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emmalynn Clemmensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fernbrook Family Center, Inc
79 mi
Social Worker
2575 HARVEST LN
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • 79 clinicians in this Medicare group
NPI 1659483915 (507) 446-0431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE E BARNES LICSW
Social Worker (Clinical)
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
MS. CAROL ANN OBRIEN MSW LICSW
Social Worker
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
JENNIFER ANN MERCER
Counselor (Mental Health)
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
SHERI JO TESCH MS LMFT
Marriage & Family Therapist
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
MR. MONIQUE MASSA MILLER MS LP
Psychologist
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
MS. ASHLEY LACE LANDERS M.S.
Marriage & Family Therapist
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
HOLLY RAE FANNING MS
Counselor (Mental Health)
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400
RODNEY WADE TWEDELL BA, CPRP, MHP
Counselor (Mental Health)
308 12TH AVE S
BUFFALO, MN 55313
Wright County (763) 682-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmalynn Clemmensen's NPI number?

The NPI number for Emmalynn Clemmensen is 1053831248. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Emmalynn Clemmensen located?

Emmalynn Clemmensen practices at 308 12th Ave S, Buffalo, MN 55313. The listed phone number is (763) 682-4400.

What is Emmalynn Clemmensen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Emmalynn Clemmensen enrolled in Medicare?

Yes. Emmalynn Clemmensen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emmalynn Clemmensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmalynn Clemmensen reassigns Medicare benefits to Fernbrook Family Center, Inc (Owatonna, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmalynn Clemmensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emmalynn Clemmensen accept?

Health plans from HealthPartners list Emmalynn Clemmensen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmalynn Clemmensen was last updated on June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.