PLYMOUTH PSYCH GROUP, LLC
NPI 1003195942
Counselor - Mental Health in Plymouth, MN
About Plymouth Psych Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLYMOUTH PSYCH GROUP, LLC (NPI 1003195942) is a healthcare organization registered as a mental health in Plymouth, Minnesota and active in the NPI registry since August 2011. The organization lists Israel Sokeye, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Plymouth Psych Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Plymouth Psych Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Plymouth Psych Group, LLC's NPI number?
The NPI number for Plymouth Psych Group, LLC is 1003195942. It was assigned to this organization in the NPPES registry on August 10, 2011.
Where is Plymouth Psych Group, LLC located?
Plymouth Psych Group, LLC is located at 3021 Harbor Ln N Suite 206, Plymouth, MN 55447. The listed phone number is (651) 271-9005.
What is Plymouth Psych Group, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Plymouth Psych Group, LLC enrolled in Medicare?
Yes. Plymouth Psych Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Plymouth Psych Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 8 Medicare specialties reassign their Medicare billing to Plymouth Psych Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Clinical Social Worker (4) and Clinical Psychologist (3). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Plymouth Psych Group, LLC accept?
Health plans from HealthPartners list Plymouth Psych Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Plymouth Psych Group, LLC was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Plymouth Psych Group, Llc · NPI 1003195942
Mental Health organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since August 10, 2011.
## Identity
- **NPI:** 1003195942 (Entity type: Organization)
- **Enumerated:** August 10, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Israel Sokeye, OWNER
## Practice location
- **Address:** 3021 HARBOR LN N, SUITE 206, Plymouth, MN 55447-5109
- **Phone:** (651) 271-9005 · **Fax:** (763) 271-2707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Clinical Social Worker (4), Clinical Psychologist (3); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1003195942/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1003195942) · Data from the CMS NPPES public registry.