EMMANUEL OPPONG – Mental Health Counselor, NPI 1023605664

EMMANUEL OPPONG is a healthcare provider. based in Saint cloud, Minnesota. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for EMMANUEL OPPONG is 1023605664

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
EMMANUEL OPPONG
NPI
1023605664
Phone
(320) 237-6996
Address
22 WILSON AVE NE STE 209
Enumeration Date
29 December 2020
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202512700
Graduation Year
2024 (2 years ago)
PAC ID
2264871185
Group Practice PAC ID
4880594779
Professional Enrollment ID
I20240411002562
Address ID
MN563031900SA1406XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,847 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for EMMANUEL OPPONG

  • 22 WILSON AVE NE STE 209

    SAINT CLOUD, MN 563040440

    Phone: (320) 237-6996

    Type: Location

  • PO BOX 2041

    SAINT CLOUD, MN 563022041

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240411002562IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880594779View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
P S Y C H I A T R YMN
Internal Medicine, RheumatologyMN
Qualified Speech Language PathologistMN
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Clinical PsychologistCA
Physician AssistantMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for EMMANUEL OPPONG?
EMMANUEL OPPONG — NPI 1023605664 — is the standard way to identify this listing.
Is EMMANUEL OPPONG listed as active for patients and plans?
The listing shows EMMANUEL OPPONG as active in the NPI system.
What is EMMANUEL OPPONG's primary classification?
Mental Health Counselor is the headline specialty for EMMANUEL OPPONG here. Clinical services aligned with this taxonomy classification.
Where should I expect EMMANUEL OPPONG on a map?
Expect Saint Cloud, Minnesota as a primary anchor for EMMANUEL OPPONG unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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