JENNIFER ROSE ELMBERG – Mental Health Counselor, NPI 1811406945

JENNIFER ROSE ELMBERG is a healthcare provider. based in Virginia, Minnesota. specializing in Mental Health Counselor. They hold a License No. 25870 (MN). The NPI Number for JENNIFER ROSE ELMBERG is 1811406945

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ROSE ELMBERG
NPI
1811406945
Phone
(218) 481-7660
Address
225 1ST ST N STE 3100B
Enumeration Date
20 September 2017
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184817660
Graduation Year
2016 (10 years ago)
PAC ID
3274860127
Group Practice PAC ID
4486911187
Professional Enrollment ID
I20190814004105
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for JENNIFER ROSE ELMBERG

  • 3100, 1st Street North, Arlington Heights, Arlington, Arlington County, Virginia, 22201, United States

    VIRGINIA, MN 557922457

    Phone: (218) 481-7660

    Fax: (218) 216-1452

    Type: Location

  • 302 E Howard St Ste 114

    Hibbing, MN 557464202

    Phone: (218) 481-7660

    Fax: (218) 216-1452

    Type: Location

  • West Superior Street, Duluth, Saint Louis County, Minnesota, 55802, United States

    DULUTH, MN 558021818

    Phone: (218) 481-7660

    Fax: (218) 216-1452

    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: 2019-08-14

PECOS data refreshed: 2026-05-27

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
I20190814004105IClinical Social WorkerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16716$0
View full utilization report →

Insurance plans in this area (ZIP 55792)

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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: 4486911187View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER ROSE ELMBERG in U.S. healthcare records?
The official identifier for JENNIFER ROSE ELMBERG is NPI 1811406945.
Active or inactive — what applies to JENNIFER ROSE ELMBERG?
You should see JENNIFER ROSE ELMBERG as active in CMS-hosted NPPES data.
What expertise is attributed to JENNIFER ROSE ELMBERG?
JENNIFER ROSE ELMBERG's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER ROSE ELMBERG?
Directory geography for JENNIFER ROSE ELMBERG centers on Virginia, Minnesota.
Can I trust this NPI listing for JENNIFER ROSE ELMBERG?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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