MIKKI K MASON LMFT, LADC
NPI 1003578758
Marriage & Family Therapist in Otsego, MN

Q: What is Mikki Mason's NPI number?

The NPI number for Mikki Mason is 1003578758. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Q: What is Mikki Mason's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mikki Mason was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment

9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 308-8619 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mikki K Mason Lmft, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKKI K MASON LMFT, LADC (NPI 1003578758) is an individual marriage & family therapist in Otsego, Minnesota, licensed in Minnesota (4150) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003578758

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMIKKI K MASONCredential: LMFT, LADC

Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168

Mailing Address5645 Green Circle Dr Apt 200Minnetonka, MN 55343-9658 · (612) 532-1020

Phone(763) 308-8619

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 11, 2021

NPPES CertifiedOctober 11, 2021

✔ NPI 1003578758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 4150

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304777 (MN)

9245 QUANTRELLE AVE NE, Otsego, MN 55330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikki K Mason Lmft, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820448152

PECOS Enrollment IDI20231228001076

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER JO VOSS MHP, ADC-T

Counselor (Mental Health)