MEDICARE: ESMERALDA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1063386258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESMERALDA PLLC

Provider Business Mailing Address
First Line	:	2800 E 40TH ST UNIT 1
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3082
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 E 40TH ST STE 1
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3186
Country	:	US
Telephone Number	:	763-516-1043
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	ESMERALDA FLORES BARRAZA
Credential	:	MA, LPCC
Telephone Number	:	763-516-1043

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	01/26/2026

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