EMMALYNN PEPPER CLEMMENSEN MS LPCC CRC NPI 1053831248

NPI Information

  • NPI: 1053831248
  • Provider Name: EMMALYNN PEPPER CLEMMENSEN, MS, LPCC, CRC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 308 12TH AVE S
    BUFFALO, MN
    ZIP 55313
  • Phone: (763) 682-4400

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NPI Details

Emmalynn Pepper Clemmensen, MS, LPCC, CRC is a mental health counselor in Buffalo, MN. Emmalynn Pepper Clemmensen, MS, LPCC, CRC NPI is 1053831248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

308 12TH AVE S
BUFFALO, MN
ZIP 55313-321
Phone: (763) 682-4400

The NPI 1053831248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/20/2017 and was last updated on 6/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthCC01534MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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