Emily Ann Groteboer-Distad, MS, LPCC, NCC
Mental Health Counselor · Rosemount, MN
Emily Ann Groteboer-Distad, MS, LPCC, NCC is a mental health counselor with a practice address in Rosemount, Minnesota, and NPI 1942855408, issued on Aug 1, 2019. Check the license (Minnesota CC02555, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Emily Ann Groteboer-Distad
- Credential
- MS, LPCC, NCC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- CC02555 MN
Self-reported in NPPES; status is on the state search - Practice location
- 15265 Carrousel Way Ste 100, Rosemount, MN 55068
- Phone
- (952) 443-4600
- Enumerated
- Aug 1, 2019
- Record last updated
- Jan 7, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20240308003472); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,133 in Minnesota → Look up another NPI →
Also registered at 15265 Carrousel Way Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Andrea Barlass, LICSWClinical Social Worker1275881674
- Gabrielle CanessaStudent in an Organized Health Care Education/Training Program1952093221
- Katherine Frank, M.A.Student in an Organized Health Care Education/Training Program1023824745
- Kristin Hanson, DNP, CNP, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1689451338
- Ashley Junghans-Rutelonis, PH.D.Psychologist1992109037
- Jennifer Koplos, PSYDClinical Psychologist1962815639
Verify Emily Ann Groteboer-Distad in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license CC02555Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Skeleton Key Counseling LLCLake Elmo, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Emily Ann Groteboer-Distad among 4,133 mental health counselor records in Minnesota
Emily Ann Groteboer-Distad, MS, LPCC, NCC is one of 4,133 mental health counselor records with a practice address in Minnesota. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 36% of them.
- NPI issued2019 · 36% of these records are older, 59% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2017 · median 2017 among the 852 with a school on file
- Record last updated2021 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 mental health counselor records list a practice address in Rosemount
They are 7 of the 197 NPPES records with a practice address in Rosemount, and 4,133 mental health counselor records in Minnesota.
All 4,133 in Minnesota → Every provider in Rosemount → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Jennifer Ario, LPCCRosemount, MN 550681083330427
- Sarah BourassaRosemount, MN 550681336718840
- Desiree Phillips, LPCCRosemount, MN 550681932846946
- Abbie PoushRosemount, MN 550681518523596
- Amy Strand, MA, LPCCRosemount, MN 550681528597747
- Kimberly Swanson, LPCCRosemount, MN 550681063077220
- Valerie Laporte, LICSWRed Wing, MN 550661528432770
- Tina Lee, LADCRed Wing, MN 550661780255687
Common questions
What is Emily Ann Groteboer-Distad, MS, LPCC, NCC's NPI number?
Emily Ann Groteboer-Distad, MS, LPCC, NCC's National Provider Identifier (NPI) is 1942855408, issued on Aug 1, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Emily Ann Groteboer-Distad, MS, LPCC, NCC located?
The NPPES record lists a practice address at 15265 Carrousel Way Ste 100, Rosemount, MN, 55068. Phone: (952) 443-4600. Providers update this record themselves, so call before visiting.
How can I verify Emily Ann Groteboer-Distad, MS, LPCC, NCC's license?
NPPES lists Minnesota license number CC02555, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.