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BRIAN DAVID EMMECK
NPI 1124835210
Marriage & Family Therapist in Saint Louis Park, MN

Active since December 12, 2024PECOS Enrolled
1000 SHELARD PKWY STE 520, SAINT LOUIS PARK, MN 55426(763) 226-5330 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian David Emmeck NPPES

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

BRIAN DAVID EMMECK (NPI 1124835210) is an individual marriage & family therapist in Saint Louis Park, Minnesota and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124835210
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBRIAN DAVID EMMECK
Location Address1000 SHELARD PKWY STE 520Saint Louis Park, MN 55426-4932
Mailing Address5329 48th Ave S Unit 405Minneapolis, MN 55417-3706 · (763) 226-5330
Phone(763) 226-5330
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 12, 2024
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1124835210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
1000 SHELARD PKWY STE 520, Saint Louis Park, MN 55426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian David Emmeck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365925922
PECOS Enrollment IDI20260311002963
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 Brian Emmeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parkdale Therapy Group, LLC
Same address
Marriage & Family Therapist
1000 SHELARD PKWY STE 520
St Louis Park, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1275723777 (952) 224-0399

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 4

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

SAMANTHA ROSE WALDRON LAMFT
Marriage & Family Therapist
1000 SHELARD PKWY STE 520
SAINT LOUIS PARK, MN 55426
Hennepin County (612) 987-4855
PARKDALE THERAPY GROUP, LLC
Marriage & Family Therapist
1000 SHELARD PKWY STE 520
ST LOUIS PARK, MN 55426
Hennepin County (952) 224-0399
MEREDITH A HYDUKE DEHN MA, LAMFT
Marriage & Family Therapist
1000 SHELARD PKWY STE 520
ST LOUIS PARK, MN 55426
Hennepin County (952) 224-0399
NATALIE G NICHOLSON
Marriage & Family Therapist
1000 SHELARD PKWY STE 520
ST LOUIS PARK, MN 55426
Hennepin County (952) 224-0399

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 Brian Emmeck's NPI number?

The NPI number for Brian Emmeck is 1124835210. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Brian Emmeck located?

Brian Emmeck practices at 1000 Shelard Pkwy Ste 520, Saint Louis Park, MN 55426. The listed phone number is (763) 226-5330.

What is Brian Emmeck's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Brian Emmeck enrolled in Medicare?

Yes. Brian Emmeck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Emmeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Emmeck reassigns Medicare benefits to Parkdale Therapy Group, LLC (St Louis Park, 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 Brian Emmeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Emmeck was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.