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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANGELA SUZANNE ELMENDORF
NPI 1073165569
Counselor - Professional in Chanhassen, MN

Active since July 15, 2019
7975 STONE CREEK DR STE 130, CHANHASSEN, MN 55317(953) 544-6806(952) 545-0098 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, Jul 15, 2019 (2 updates tracked since 2019).

About Angela Suzanne Elmendorf NPPES

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

ANGELA SUZANNE ELMENDORF (NPI 1073165569) is an individual professional provider in Chanhassen, Minnesota, licensed in Minnesota (5503) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1073165569
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANGELA SUZANNE ELMENDORF
Location Address7975 STONE CREEK DR STE 130Chanhassen, MN 55317-4728
Mailing Address10201 Wayzata Blvd Ste 100Minnetonka, MN 55305-1500 · (953) 544-6806 · Fax (952) 545-0098
Phone(953) 544-6806
Fax(952) 545-0098
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1073165569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5503
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
7975 STONE CREEK DR STE 130, Chanhassen, MN 55317
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Other Providers at the Same Location NPPES 5

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

KATIE ANNE MARK MSW, LICSW
Social Worker (Clinical)
7975 STONE CREEK DR STE 130
CHANHASSEN, MN 55317
Carver County (952) 544-6806
JULIE MUGGLI MA, LPCC
Counselor (Professional)
7975 STONE CREEK DR STE 130
CHANHASSEN, MN 55317
Carver County (952) 544-6806
RACHEL M MORAN LMFT
Marriage & Family Therapist
7975 STONE CREEK DR STE 130
CHANHASSEN, MN 55317
Carver County (952) 544-6806
LAURIE ANNE CAMILLI LICSW
Social Worker (Clinical)
7975 STONE CREEK DR STE 130
CHANHASSEN, MN 55317
Carver County (952) 544-6806
LUCAS MYEONG-KIL LUND
Counselor (Mental Health)
7975 STONE CREEK DR STE 130
CHANHASSEN, MN 55317
Carver County (952) 544-6806

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 Angela Elmendorf's NPI number?

The NPI number for Angela Elmendorf is 1073165569. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Angela Elmendorf located?

Angela Elmendorf practices at 7975 Stone Creek Dr Ste 130, Chanhassen, MN 55317. The listed phone number is (953) 544-6806.

What is Angela Elmendorf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Angela Elmendorf was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.