Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa Panchyshyn

Individual provider Professional Counselor · NPI 1538779749

Elisa Panchyshyn is a Mental Health Counselor in Roseville, Minnesota. Qualified in 2020, 6 years ago. Practices with Cook Counseling Services, LLC, a 3-clinician group.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

1711 County Road B W Ste 200S
Roseville, MN 55113-4068
Phone: (651) 486-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1538779749
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address6221 Clinton Ave, Richfield, MN 55423-1649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cook Counseling Services, Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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