KASSIDY SEVERSON LMFT
NPI 1124945969
Marriage & Family Therapist in Minneapolis, MN

Active since July 02, 2026PECOS Enrolled
9800 ROCKFORD RD STE 100, MINNEAPOLIS, MN 55442(651) 454-0114 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kassidy Severson Lmft NPPES

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

KASSIDY SEVERSON LMFT (NPI 1124945969) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (4717) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124945969
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKASSIDY SEVERSONCredential: LMFT
Location Address9800 ROCKFORD RD STE 100Minneapolis, MN 55442-2930
Mailing Address9800 Rockford Rd Ste 100Minneapolis, MN 55442-2930 · (651) 454-0114
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1124945969 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 · 4717
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.
9800 ROCKFORD RD STE 100, Minneapolis, MN 55442

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassidy Severson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163981606
PECOS Enrollment IDI20260826000879
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 Kassidy Severson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3450 OLEARY LN
Eagan, MN 55123
  • Reassigned Medicare billing, Minnesota enrollment
  • 97 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
9800 ROCKFORD RD STE 100
PLYMOUTH, MN 55442
Counselor (Professional)
9800 ROCKFORD RD STE 100
PLYMOUTH, MN 55442
Social Worker
9800 ROCKFORD RD STE 100
PLYMOUTH, MN 55442

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 Kassidy Severson's NPI number?

The NPI number for Kassidy Severson is 1124945969. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Kassidy Severson located?

Kassidy Severson practices at 9800 Rockford Rd Ste 100, Minneapolis, MN 55442. The listed phone number is (651) 454-0114.

What is Kassidy Severson's specialty?

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

Is Kassidy Severson enrolled in Medicare?

Yes. Kassidy Severson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kassidy Severson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassidy Severson reassigns Medicare benefits to Eagan Counseling Clinic (Eagan, 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 Kassidy Severson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kassidy Severson accept?

Health plans from HealthPartners list Kassidy Severson 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 Kassidy Severson was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.