1. Home
  2. Directory
  3. Minnesota
  4. Rosemount
  5. Counselor
  6. NPI Profile

EMILY ANN GROTEBOER-DISTAD MS, LPCC, NCC
NPI 1942855408
Counselor - Mental Health in Rosemount, MN

Active since August 01, 2019PECOS EnrolledAccepts Medicare Assignment
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068(952) 443-4600 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2021, Aug 1, 2019 (2 updates tracked since 2019).

About Emily Ann Groteboer-distad Ms, Lpcc, Ncc NPPES

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

EMILY ANN GROTEBOER-DISTAD MS, LPCC, NCC (NPI 1942855408) is an individual mental health provider in Rosemount, Minnesota, licensed in Minnesota (CC02555) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942855408
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY ANN GROTEBOER-DISTADCredential: MS, LPCC, NCC
Location Address15265 CARROUSEL WAY STE 100Rosemount, MN 55068-1760
Mailing AddressPo Box 51Victoria, MN 55386-0051 · (952) 443-4600
Phone(952) 443-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2019
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1942855408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC02555
15265 CARROUSEL WAY STE 100, Rosemount, MN 55068
Open in Google Maps ↗

Other Names 1

Former Name (1)Emily Ann Groteboer

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Ann Groteboer-distad Ms, Lpcc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921444258
PECOS Enrollment IDI20240308003472
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.

Other Providers at the Same Location NPPES 11

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

KATHERINE FRANK M.A.
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
ELIJAH WOOD DSW, MSW, LICSW
Social Worker (Clinical)
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
ANDREA BARLASS LICSW
Social Worker (Clinical)
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (951) 443-4600
ABBIE POUSH
Counselor (Mental Health)
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
EMMA PONCIN
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
KRISTIN HANSON DNP, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
GABRIELLE ANN CANESSA
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600
JENNIFER W KOPLOS PSYD
Psychologist (Clinical)
15265 CARROUSEL WAY STE 100
ROSEMOUNT, MN 55068
Dakota County (952) 443-4600

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 Groteboer-distad's NPI number?

The NPI number for Emily Groteboer-distad is 1942855408. It was assigned to this individual provider in the NPPES registry on August 1, 2019. The provider is also known as Emily Ann Groteboer.

Where is Emily Groteboer-distad located?

Emily Groteboer-distad practices at 15265 Carrousel Way Ste 100, Rosemount, MN 55068. The listed phone number is (952) 443-4600.

What is Emily Groteboer-distad's specialty?

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

Is Emily Groteboer-distad enrolled in Medicare?

Yes. Emily Groteboer-distad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emily Groteboer-distad accept?

Health plans from HealthPartners list Emily Groteboer-distad 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 Groteboer-distad was last updated on January 7, 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.