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EMMA MAE BUCKINGHAM
NPI 1144910621
Counselor - Mental Health in Bloomington, MN

Active since May 09, 2023PECOS Enrolled
1550 AMERICAN BLVD E STE 550, BLOOMINGTON, MN 55425(612) 778-6191 Get Directions Write a Review

NPPES record last updated: October 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 6, 2024, May 9, 2023 (2 updates tracked since 2023).

About Emma Mae Buckingham NPPES

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

EMMA MAE BUCKINGHAM (NPI 1144910621) is an individual mental health provider in Bloomington, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1144910621
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMMA MAE BUCKINGHAM
Location Address1550 AMERICAN BLVD E STE 550Bloomington, MN 55425-3100
Mailing Address1801 American Blvd E Ste 8Bloomington, MN 55425-1230
Phone(612) 778-6191
Sole ProprietorNo
Enumeration DateMay 9, 2023
Last NPPES UpdateOctober 6, 20242 updates tracked since enumeration
NPPES CertifiedOctober 6, 2024
✔ NPI 1144910621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1550 AMERICAN BLVD E STE 550, Bloomington, MN 55425
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Secondary Practice Location 1

Location 17401 Metro Blvd Ste 250Edina, MN 55439-3062 · Phone (612) 778-6191

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Mae Buckingham 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 Reassignments

2

Medicare enrollment records show Emma Buckingham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Psychological Services, P.C.
4.9 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858
Fraser Child And Family Center
7.8 mi
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

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 8

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

JONATHAN MICHAEL GUZMAN MA, LPCC
Counselor (Mental Health)
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
SARAH MAHMOUD MEHANNA-VASQUEZ MA, LMFT
Marriage & Family Therapist
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
SUZANNE ELIZABETH TRUNNELL NP
Nurse Practitioner
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
HEATHER M CASSIDY MS, LPCC
Counselor (Mental Health)
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
QUINCY GUINADI LP
Psychologist
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
MADALYN MOUANOUTOUA MSW, LICSW
Social Worker (Clinical)
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858
NAOMI JEAN WARD LICSW
Social Worker (Clinical)
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 504-4628
MARTINA JENSEN LICSW
Social Worker (Clinical)
1550 AMERICAN BLVD E STE 550
BLOOMINGTON, MN 55425
Hennepin County (612) 268-5858

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 Emma Buckingham's NPI number?

The NPI number for Emma Buckingham is 1144910621. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Emma Buckingham located?

Emma Buckingham practices at 1550 American Blvd E Ste 550, Bloomington, MN 55425. The listed phone number is (612) 778-6191.

What is Emma Buckingham's specialty?

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

Is Emma Buckingham enrolled in Medicare?

Yes. Emma Buckingham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emma Buckingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Buckingham reassigns Medicare benefits to 2 organizations: Affinity Psychological Services, P.C. (Edina, MN) and Fraser Child And Family Center (Minneapolis, MN). Each 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 Emma Buckingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Buckingham accept?

Health plans from HealthPartners and Medica list Emma Buckingham 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 Emma Buckingham was last updated on October 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.