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JUSTIN POTTER LICSW
NPI 1326838665
Social Worker - Clinical in Bloomington, MN

Active since May 09, 2025PECOS EnrolledAccepts Medicare Assignment
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420(952) 854-5034 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Potter Licsw NPPES

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

JUSTIN POTTER LICSW (NPI 1326838665) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (24510) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326838665
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN POTTERCredential: LICSW
Location Address1101 E 78TH ST STE 100Bloomington, MN 55420-1402
Mailing Address1101 E 78th St Ste 100Bloomington, MN 55420-1402 · (952) 854-5034
Phone(952) 854-5034
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1326838665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 24510
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1101 E 78TH ST STE 100, Bloomington, MN 55420
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

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

Justin Potter Licsw 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 ID1052830445
PECOS Enrollment IDI20250529000709
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 Justin Potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
15 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 55420 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

AMANDA SCHMIDT
Counselor (Mental Health)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JESSICA BORDENAVE PSYD, LP
Psychologist (Clinical)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JOLENE STARK LADC
Counselor (Addiction (Substance Use Disorder))
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
MR. DAVID ALOIS PRASKA JR. MA, LMFT
Marriage & Family Therapist
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
JENNIFER BRIANNE TOTH MA, LPCC
Counselor (Mental Health)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
COLIN GREGORY COOPER LPCC
Counselor (Professional)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 234-8604
CASSANDRA VOTAW LPC
Counselor
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-5034
BRITTANI JOY SENSER LICSW
Social Worker (Clinical)
1101 E 78TH ST STE 100
BLOOMINGTON, MN 55420
Hennepin County (952) 854-4034

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 Justin Potter's NPI number?

The NPI number for Justin Potter is 1326838665. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Justin Potter located?

Justin Potter practices at 1101 E 78th St Ste 100, Bloomington, MN 55420. The listed phone number is (952) 854-5034.

What is Justin Potter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Justin Potter enrolled in Medicare?

Yes. Justin Potter 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 organization bills Medicare for Justin Potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Potter reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Justin Potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Potter accept?

Health plans from HealthPartners and Sanford Health Plan list Justin Potter 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 Justin Potter was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.