EMILY MARLENE WEIDENBACHER
NPI 1609606516
Counselor - Mental Health in Mendota Heights, MN
About Emily Marlene Weidenbacher NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY MARLENE WEIDENBACHER (NPI 1609606516) is an individual mental health provider in Mendota Heights, Minnesota, licensed in Minnesota (4527) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Marlene Weidenbacher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emily Weidenbacher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 clinicians in this Medicare group
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.
MENDOTA HEIGHTS, MN 55120
MENDOTA HEIGHTS, MN 55120
MENDOTA HEIGHTS, MN 55120
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 Emily Weidenbacher's NPI number?
The NPI number for Emily Weidenbacher is 1609606516. It was assigned to this individual provider in the NPPES registry on August 5, 2024.
Where is Emily Weidenbacher located?
Emily Weidenbacher practices at 1370 Mendota Heights Rd, Mendota Heights, MN 55120. The listed phone number is (651) 724-4035.
What is Emily Weidenbacher's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Emily Weidenbacher enrolled in Medicare?
Yes. Emily Weidenbacher is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emily Weidenbacher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Weidenbacher reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, 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 Emily Weidenbacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Weidenbacher accept?
Health plans from HealthPartners list Emily Weidenbacher 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 Emily Weidenbacher was last updated on August 5, 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.
# Emily Marlene Weidenbacher · NPI 1609606516
Mental Health provider in Mendota Heights, Minnesota. Individual provider, active in the CMS NPPES registry since August 5, 2024.
## Identity
- **NPI:** 1609606516 (Entity type: Individual)
- **Enumerated:** August 5, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 4527 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1370 MENDOTA HEIGHTS RD, Mendota Heights, MN 55120-1281
- **Phone:** (651) 724-4035
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609606516) · Data from the CMS NPPES public registry.