Emily Coughlin, MPS, LPCC, LADC is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. Her current practice location is
2118 Blaisdell Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 964-2490.
Emily Coughlin is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972110906.
Healthcare Provider's Profile
| Full Name | Emily Coughlin |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 2118 Blaisdell Ave, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972110906
- Provider Enumeration Date: 09/24/2020
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880046408
- Enrollment ID: I20240119000899
Medical Identifiers
Medical identifiers for Emily Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972110906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily Coughlin allows following entities to bill medicare on her behalf.
| Entity Name | Lyn-lake Psychotherapy And Wellness Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609355163
PECOS PAC ID: 9638581291
Enrollment ID: O20201224000071 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Coughlin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Emily Coughlin, MPS, LPCC, LADC
4641 Portland Ave,
Minneapolis, MN 55407-3551
Ph: (770) 298-3582 | Emily Coughlin, MPS, LPCC, LADC
2118 Blaisdell Ave,
Minneapolis, MN 55404-2415
Ph: (651) 964-2490 |
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