TERRI E BLY PSYD, LP
NPI 1093221129
Psychologist - Clinical in Saint Paul, MN

Q: What is Terri Bly's NPI number?

The NPI number for Terri Bly is 1093221129. It was assigned to this individual provider in the NPPES registry on December 27, 2017. The provider is also known as Terri Joy Elofson.

Q: What is Terri Bly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Terri Bly was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 December 27, 2017PECOS Enrolled

91 SNELLING AVE N, SAINT PAUL, MN 55104(612) 979-2276(651) 925-0427 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2018, Dec 27, 2017 (2 updates tracked since 2017).

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About Terri E Bly Psyd, Lp NPPES

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

TERRI E BLY PSYD, LP (NPI 1093221129) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (4864) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1093221129

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTERRI E BLYCredential: PSYD, LP

Location Address91 SNELLING AVE NSaint Paul, MN 55104-6753

Mailing Address3528 Widgeon WayEagan, MN 55123-1003 · (651) 252-1184

Phone(612) 979-2276

Fax(651) 925-0427

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateDecember 27, 2017

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1093221129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · 4864

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

91 SNELLING AVE N, Saint Paul, MN 55104

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Other Names 1

Former Name (1)Terri Joy Elofson

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 (PECOS)

Terri E Bly Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587927967

PECOS Enrollment IDI20180417002513

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 Terri Bly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lyn-Lake Psychotherapy And Wellness Ltd.

5.9 mi

Clinical

621 W LAKE ST STE 350
Minneapolis, MN 55408

Reassigned Medicare billing, Minnesota enrollment
152 clinicians in this Medicare group

NPI 1609355163 (612) 979-2276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. DELLE MARIAN JACOBS MSW, LICSW, LMFT

Social Worker (Clinical)

91 SNELLING AVE N, SUITE 230
SAINT PAUL, MN 55104

Ramsey County (651) 642-9883

MS. ANN ELIZABETH BOEKHOFF MA LP LMFT

Marriage & Family Therapist

91 SNELLING AVE N, SUITE 200
SAINT PAUL, MN 55104

Ramsey County (651) 647-3492

PDG, PA

Clinic/Center (Dental)

91 SNELLING AVE N
SAINT PAUL, MN 55104

Ramsey County (651) 646-3735

MARIE VAN BUSKIRK MSW

Social Worker (Clinical)

91 SNELLING AVE N
SAINT PAUL, MN 55104

Ramsey County (612) 979-2276

DAMARIS TERESA PEREZ RAMIREZ MA LP LPC

Psychologist (Counseling)

91 SNELLING AVE N
SAINT PAUL, MN 55104

Ramsey County (952) 215-4993

RUTH H. TALLAKSON, PHD, LP, LTD.

Psychologist

91 SNELLING AVE N, SUITE 220
SAINT PAUL, MN 55104

Ramsey County (651) 647-1001

DR. MARY ELIZABETH YOUNGQUIST PH.D. L.P.

Psychologist

91 SNELLING AVE N, SUITE 220
SAINT PAUL, MN 55104

Ramsey County (651) 642-9066

MRS. LAURA A. BOE M.A. L.P.

Psychologist (Group Psychotherapy)

91 SNELLING AVE N, SUITE 230
SAINT PAUL, MN 55104

Ramsey County (651) 646-5700

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 Terri Bly's NPI number?

The NPI number for Terri Bly is 1093221129. It was assigned to this individual provider in the NPPES registry on December 27, 2017. The provider is also known as Terri Joy Elofson.

Where is Terri Bly located?

Terri Bly practices at 91 Snelling Ave N, Saint Paul, MN 55104. The listed phone number is (612) 979-2276.

What is Terri Bly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Terri Bly enrolled in Medicare?

Yes. Terri Bly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terri Bly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Bly reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, 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 Terri Bly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terri Bly accept?

Health plans from HealthPartners list Terri Bly 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 Terri Bly was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.