ELISABETH EMMERICH
NPI 1629469903
Counselor - Professional in Eden Prairie, MN

Active since February 09, 2015Opted out of Medicare · through Jan 16, 2027
6542 REGENCY LN STE 210, EDEN PRAIRIE, MN 55344(612) 564-3402 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth Emmerich NPPES

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

ELISABETH EMMERICH (NPI 1629469903) is an individual professional provider in Eden Prairie, Minnesota, licensed in Minnesota (938) and active in the NPI registry since February 2015. She has opted out of Medicare through January 16, 2027.

NPPES Registry Identity

NPI1629469903
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISABETH EMMERICH
Location Address6542 REGENCY LN STE 210Eden Prairie, MN 55344-7848
Mailing Address9400 Creekwood DrEden Prairie, MN 55347-2766
Sole ProprietorNo
Enumeration DateFebruary 9, 2015
Last NPPES UpdateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
NPI 1629469903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 938
6542 REGENCY LN STE 210, Eden Prairie, MN 55344

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Elisabeth Emmerich 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 January 16, 2025 through January 16, 2027.

Opt-Out Effective DateJanuary 16, 2025
Opt-Out In Effect ThroughJanuary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
6542 REGENCY LN STE 210
EDEN PRAIRIE, MN 55344

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 Elisabeth Emmerich's NPI number?

The NPI number for Elisabeth Emmerich is 1629469903. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Elisabeth Emmerich located?

Elisabeth Emmerich practices at 6542 Regency Ln Ste 210, Eden Prairie, MN 55344. The listed phone number is (612) 564-3402.

What is Elisabeth Emmerich's specialty?

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

Is Elisabeth Emmerich enrolled in Medicare?

No. Elisabeth Emmerich has opted out of Medicare through January 16, 2027. 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 Elisabeth Emmerich was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.