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ANDREW CARSON MA
NPI 1124624614
Counselor - Mental Health in Plymouth, MN

Active since December 09, 2020PECOS EnrolledAccepts Medicare Assignment
4100 BERKSHIRE LN N STE 250, PLYMOUTH, MN 55446(612) 223-8898(833) 972-0904 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Dec 9, 2020 (2 updates tracked since 2020).

About Andrew Carson Ma NPPES

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

ANDREW CARSON MA (NPI 1124624614) is an individual mental health provider in Plymouth, Minnesota and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124624614
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW CARSONCredential: MA
Location Address4100 BERKSHIRE LN N STE 250Plymouth, MN 55446-3813
Mailing Address1601 4th Ave SBuffalo, MN 55313-1283 · (763) 245-2576
Phone(612) 223-8898
Fax(833) 972-0904
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 9, 2020
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1124624614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4464 (MN)
4100 BERKSHIRE LN N STE 250, Plymouth, MN 55446
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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

Andrew Carson Ma 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 ID7214475458
PECOS Enrollment IDI20240819002581
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 5

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

COURTNEY HENNIS LPC
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
SAMANTHA JO PREUSSER MSW, LICSW
Social Worker (Clinical)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
KAYLA MARIE DJONNE MSW, LICSW
Social Worker (Clinical)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
PAUL BARRY BENSON
Counselor (Professional)
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898
MICHAELA BURNS LAULAINEN
Counselor
4100 BERKSHIRE LN N STE 250
PLYMOUTH, MN 55446
Hennepin County (612) 223-8898

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 Andrew Carson's NPI number?

The NPI number for Andrew Carson is 1124624614. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Andrew Carson located?

Andrew Carson practices at 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446. The listed phone number is (612) 223-8898.

What is Andrew Carson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrew Carson enrolled in Medicare?

Yes. Andrew Carson 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.

What insurance does Andrew Carson accept?

Health plans from HealthPartners list Andrew Carson 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 Andrew Carson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.