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DAPHNE LYNN DEMARIS MA
NPI 1477646586
Counselor - Professional in Minnetonka, MN

Active since October 02, 2006Opted out of Medicare · through Feb 12, 2028
11207 CEDAR POINTE DR S, MINNETONKA, MN 55305(586) 202-0474(651) 457-4955 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Feb 7, 2017 (2 updates tracked since 2017).

About Daphne Lynn Demaris Ma NPPES

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

DAPHNE LYNN DEMARIS MA (NPI 1477646586) is an individual professional provider in Minnetonka, Minnesota, licensed in Minnesota (CC00889) and active in the NPI registry since October 2006. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1477646586
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDAPHNE LYNN DEMARISCredential: MA
Location Address11207 CEDAR POINTE DR SMinnetonka, MN 55305-2983
Mailing Address11207 Cedar Pointe Dr SMinnetonka, MN 55305-2983 · (586) 202-0474 · Fax (651) 457-4955
Phone(586) 202-0474
Fax(651) 457-4955
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1477646586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · CC00889✔ Licensed in ME · CC6348✔ Licensed in FL · 136✔ Licensed in MI · 6401007055
11207 CEDAR POINTE DR S, Minnetonka, MN 55305
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Daphne Lynn Demaris Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Daphne Demaris's NPI number?

The NPI number for Daphne Demaris is 1477646586. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Daphne Demaris located?

Daphne Demaris practices at 11207 Cedar Pointe Dr S, Minnetonka, MN 55305. The listed phone number is (586) 202-0474.

What is Daphne Demaris's specialty?

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

Is Daphne Demaris enrolled in Medicare?

No. Daphne Demaris has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Daphne Demaris was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.