ADVANCED PSYCHOLOGICAL SERVICES, LLC
NPI 1053066902
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mankato, MN

Active since February 18, 2022
304 BELLE AVE, MANKATO, MN 56001(877) 909-5511(507) 888-0001 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2024, Feb 6, 2024, Dec 8, 2023 and 6 more (9 updates tracked since 2022).

About Advanced Psychological Services, Llc NPPES

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

ADVANCED PSYCHOLOGICAL SERVICES, LLC (NPI 1053066902) is a healthcare organization registered as a mental health (including community mental health center) in Mankato, Minnesota and active in the NPI registry since February 2022. The organization lists Kesha Fettig, Clinic Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053066902
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameADVANCED PSYCHOLOGICAL SERVICES, LLC
Location Address304 BELLE AVEMankato, MN 56001-5250
Mailing Address304 Belle AveMankato, MN 56001-5250 · (877) 909-5511 · Fax (507) 888-0001
Fax(507) 888-0001
Organization SubpartNo
Authorized OfficialKesha FettigClinic Coordinator · (507) 735-6449
Enumeration DateFebruary 18, 2022
Last NPPES UpdateApril 8, 20249 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1053066902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
304 BELLE AVE, Mankato, MN 56001

Other Names 2

Doing Business AsAdvanced Psychological Services, Llc
Other NameTimothy Benesch

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)

Advanced Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Psychological Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1003697871
304 BELLE AVE
Mankato, MN 56001
(507) 735-6449
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Psychological Services, LLC's NPI number?

The NPI number for Advanced Psychological Services, LLC is 1053066902. It was assigned to this organization in the NPPES registry on February 18, 2022. The provider is also known as Timothy Benesch.

Where is Advanced Psychological Services, LLC located?

Advanced Psychological Services, LLC is located at 304 Belle Ave, Mankato, MN 56001. The listed phone number is (877) 909-5511.

What is Advanced Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Advanced Psychological Services, LLC enrolled in Medicare?

Yes. Advanced Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Advanced Psychological Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Psychological Services, LLC accept?

Health plans from HealthPartners and Sanford Health Plan list Advanced Psychological Services, 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 Advanced Psychological Services, LLC was last updated on April 8, 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.