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CARISSA BRANDT
NPI 1174078455
Psychologist - Clinical in Woodbury, MN

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
1811 WEIR DR STE 270, WOODBURY, MN 55125(763) 522-1450 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2019, Jan 29, 2017, Aug 16, 2016 (3 updates tracked since 2016).

About Carissa Brandt NPPES

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

CARISSA BRANDT (NPI 1174078455) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (6265) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174078455
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCARISSA BRANDT
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1811 Weir Dr Ste 270Woodbury, MN 55125-6741 · (763) 522-1450
Phone(763) 522-1450
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 16, 2016
Last NPPES UpdateMay 7, 20193 updates tracked since enumeration
✔ NPI 1174078455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 6265
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1811 WEIR DR STE 270, Woodbury, MN 55125
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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

Carissa Brandt 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 ID8224388483
PECOS Enrollment IDI20180910000671
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 Reassignments

2

Medicare enrollment records show Carissa Brandt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jessica Dresden Psyd LP LLC
9.3 mi
Mental Health (Including Community Mental Health Center)
760 STILLWATER RD STE 101
Mahtomedi, MN 55115
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1609421510 (651) 800-1189
Nystrom & Associates, Ltd
16 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

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 55125 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.

JILL JOHNSON LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
JENN LINDQUIST LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PAIGE WARE
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 243-6087
ROBIN ZIMMERMANN LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 398-6090
BELLA A KRASKA MARTIN
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
ERIN SETALA LPCC
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PALMER VANBEEST LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
NICOLE E BRINGGOLD
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646

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 Carissa Brandt's NPI number?

The NPI number for Carissa Brandt is 1174078455. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Carissa Brandt located?

Carissa Brandt practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (763) 522-1450.

What is Carissa Brandt's specialty?

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

Is Carissa Brandt enrolled in Medicare?

Yes. Carissa Brandt 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 organizations bill Medicare for Carissa Brandt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Brandt reassigns Medicare benefits to 2 organizations: Jessica Dresden Psyd LP LLC (Mahtomedi, MN) and Nystrom & Associates, Ltd (New Brighton, MN). Each 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 Carissa Brandt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carissa Brandt was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.