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MICHELLE NICOLE IVERSEN MA, LMFT
NPI 1033557152
Marriage & Family Therapist in New Prague, MN

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
301 MAIN ST W, NEW PRAGUE, MN 56071(507) 301-3412 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2021, May 31, 2017 (2 updates tracked since 2017).

About Michelle Nicole Iversen Ma, Lmft NPPES

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

MICHELLE NICOLE IVERSEN MA, LMFT (NPI 1033557152) is an individual marriage & family therapist in New Prague, Minnesota, licensed in Minnesota (2591) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1033557152
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMICHELLE NICOLE IVERSENCredential: MA, LMFT
Location Address301 MAIN ST WNew Prague, MN 56071
Mailing Address301 Main St WNew Prague, MN 56071 · (507) 301-3412
Phone(507) 301-3412
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 11, 2013
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1033557152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 2591
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.
301 MAIN ST W, New Prague, MN 56071
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Other Names 1

Other Name (5)Michelle Buckley

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Nicole Iversen Ma, Lmft 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 ID6204288178
PECOS Enrollment IDI20240116002917
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Iversen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Secure Base Counseling Center LLC
21 mi
Psychologist
570 PROFESSIONAL DR
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 38 clinicians in this Medicare group
NPI 1285905885 (507) 301-3412

Source: 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 Michelle Iversen's NPI number?

The NPI number for Michelle Iversen is 1033557152. It was assigned to this individual provider in the NPPES registry on June 11, 2013. The provider is also known as Michelle Buckley.

Where is Michelle Iversen located?

Michelle Iversen practices at 301 Main St W, New Prague, MN 56071. The listed phone number is (507) 301-3412.

What is Michelle Iversen's specialty?

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

Is Michelle Iversen enrolled in Medicare?

Yes. Michelle Iversen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Iversen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Iversen reassigns Medicare benefits to Secure Base Counseling Center LLC (Northfield, MN). The 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 Michelle Iversen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Iversen accept?

Health plans from HealthPartners list Michelle Iversen 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 Michelle Iversen was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.