ELEOS PSYCHOLOGY CENTER
NPI 1740637818
Psychologist - Clinical in Saint Louis Park, MN

Q: What is Elizabeth Wagner, Psyd, LP, Inc.'s NPI number?

The NPI number for Elizabeth Wagner, Psyd, LP, Inc. is 1740637818. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Eleos Psychology Center.

Q: What is Elizabeth Wagner, Psyd, LP, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 19, 2016

4500 PARK GLEN RD, SUITE 450, SAINT LOUIS PARK, MN 55416(952) 444-9744(952) 444-9745 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2016, May 19, 2016 (2 updates tracked since 2016).

On this page

About Eleos Psychology Center NPPES

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

ELEOS PSYCHOLOGY CENTER (NPI 1740637818) is a healthcare organization registered as a clinical in Saint Louis Park, Minnesota and active in the NPI registry since May 2016. The organization lists Elizabeth Wagner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1740637818

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameELIZABETH WAGNER, PSYD, LP, INC.

Location Address4500 PARK GLEN RD, SUITE 450Saint Louis Park, MN 55416-4871

Mailing Address4500 Park Glen Rd, Suite 450Saint Louis Park, MN 55416-4871 · (952) 444-9744 · Fax (952) 444-9745

Phone(952) 444-9744

Fax(952) 444-9745

Organization SubpartNo

Authorized OfficialElizabeth WagnerChief Executive Officer · (952) 444-9744

Enumeration DateMay 19, 2016

Last NPPES UpdateJuly 1, 20162 updates tracked since enumeration

✔ NPI 1740637818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · 5833

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4500 PARK GLEN RD, Saint Louis Park, MN 55416

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Other Names 1

Doing Business AsEleos Psychology Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleos Psychology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Eleos Psychology Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Mental Health Counselor4

Clinical Social Worker3

Marriage and Family Therapist3

Clinical Psychologist1

Clinicians, nearest first (11)

Katelyn Keil, MSW, LICSW

Clinical Social Worker

NPI 1861162760

4500 PARK GLEN RD STE 450
Saint Louis Park, MN 55416

(952) 444-9744

✔ PECOSSame address

Elizabeth Olson, M.A.

Mental Health Counselor

NPI 1033493390

4500 PARK GLEN RD STE 450
Saint Louis Park, MN 55416

(952) 444-9744

✔ PECOSSame address

Elizabeth Wagner, PSYD

Clinical Psychologist

NPI 1922128529

4500 PARK GLEN RD SUITE 450
Saint Louis Park, MN 55416

(952) 444-9744

✔ PECOS✔ Accepts MedicareSame address

Jamie Shuler, LMFT

Marriage and Family Therapist

NPI 1659229052

4500 PARK GLEN RD STE 450
St Louis Park, MN 55416

(952) 444-9744

✔ PECOSSame address

Amani Yassin, MA, LPCC

Mental Health Counselor

NPI 1477210557

1100 GLENWOOD AVE
Minneapolis, MN 55405

(612) 871-1454

✔ PECOS3.4 mi

Karen Anderson, LICSW

Clinical Social Worker

NPI 1447552070

7300 FRANCE AVE S SUITE 208
Edina, MN 55435

(952) 913-5403

✔ PECOS✔ Accepts Medicare5.1 mi

Amanda Ripley-Kayala, MA, MHP, LADC

Mental Health Counselor

NPI 1376082206

1821 UNIVERSITY AVE W SUITE N385
Saint Paul, MN 55104

(612) 326-7579

✔ PECOS7.9 mi

Sydney Howell, MA, LMFT

Marriage and Family Therapist

NPI 1922681667

1120 WAYZATA BLVD E STE 210
Wayzata, MN 55391

(218) 929-0732

✔ PECOS✔ Accepts Medicare8.2 mi

Erin Shields, DMFT

Marriage and Family Therapist

NPI 1083170336

2030 RAHN WAY
Eagan, MN 55122

(651) 529-1963

✔ PECOS✔ Accepts Medicare12 mi

Angela Erspamer, LPCC

Mental Health Counselor

NPI 1295403681

507 PROFESSIONAL DR
Northfield, MN 55057

(507) 301-3412

✔ PECOS35 mi

Kelly Buchta, MSW, LICSW

Clinical Social Worker

NPI 1114495827

220 RAILROAD ST SE
Pine City, MN 55063

(320) 629-7600

✔ PECOS64 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elizabeth Wagner, Psyd, LP, Inc.'s NPI number?

The NPI number for Elizabeth Wagner, Psyd, LP, Inc. is 1740637818. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Eleos Psychology Center.

Where is Elizabeth Wagner, Psyd, LP, Inc. located?

Elizabeth Wagner, Psyd, LP, Inc. is located at 4500 Park Glen Rd Suite 450, Saint Louis Park, MN 55416. The listed phone number is (952) 444-9744.

What is Elizabeth Wagner, Psyd, LP, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Wagner, Psyd, LP, Inc. enrolled in Medicare?

Yes. Elizabeth Wagner, Psyd, LP, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elizabeth Wagner, Psyd, LP, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Elizabeth Wagner, Psyd, LP, Inc.. A 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 the clinician's services. The largest specialties are Mental Health Counselor (4), Clinical Social Worker (3) and Marriage and Family Therapist (3). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elizabeth Wagner, Psyd, LP, Inc. accept?

Health plans from HealthPartners and Sanford Health Plan list Elizabeth Wagner, Psyd, LP, Inc. 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 Elizabeth Wagner, Psyd, LP, Inc. was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.