MRS. THERESE MARIE KOHS GILBERTSON M.A., L.P.
NPI 1215001136
Psychologist in Shoreview, MN

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
4175 NANCY PL, SHOREVIEW, MN 55126(651) 308-2272 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Therese Marie Kohs Gilbertson M.a., L.p. NPPES

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

MRS. THERESE MARIE KOHS GILBERTSON M.A., L.P. (NPI 1215001136) is an individual psychologist in Shoreview, Minnesota, licensed in Minnesota (LP0422) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodbury, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215001136
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. THERESE MARIE KOHS GILBERTSONCredential: M.A., L.P.
Location Address4175 NANCY PLShoreview, MN 55126-6411
Mailing Address4175 Nancy PlShoreview, MN 55126-6411 · (651) 308-2272
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 1, 2025
NPPES CertifiedNovember 1, 2025
✔ NPI 1215001136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP0422
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4175 NANCY PL, Shoreview, MN 55126

Secondary Practice Location 1

Location 12150 Radio DrWoodbury, MN 55125-9453 · Phone (651) 275-8714 · Fax (541) 275-8723

Other Identifiers 1

Medicaid118552700MN

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

Mrs. Therese Marie Kohs Gilbertson M.a., L.p. 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 ID2062994254
PECOS Enrollment IDI20260309000041
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.

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 Therese Kohs Gilbertson's NPI number?

The NPI number for Therese Kohs Gilbertson is 1215001136. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Therese Kohs Gilbertson located?

Therese Kohs Gilbertson practices at 4175 Nancy Pl, Shoreview, MN 55126. The listed phone number is (651) 308-2272.

What is Therese Kohs Gilbertson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Therese Kohs Gilbertson enrolled in Medicare?

Yes. Therese Kohs Gilbertson 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.

When was this NPI record last updated?

The NPPES record for Therese Kohs Gilbertson was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.