CASSONDRA JO OTTEN PSY.D., LP
NPI 1386158574
Psychologist - Clinical in Woodbury, MN

Active since November 27, 2017PECOS EnrolledAccepts Medicare Assignment
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2022, Nov 27, 2017 (2 updates tracked since 2017).

About Cassondra Jo Otten Psy.d., Lp NPPES

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

CASSONDRA JO OTTEN PSY.D., LP (NPI 1386158574) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (6713) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1386158574
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCASSONDRA JO OTTENCredential: PSY.D., LP
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 27, 2017
Last NPPES UpdateMay 9, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
NPI 1386158574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · 6713
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.
1811 WEIR DR STE 270, Woodbury, MN 55125

Accepted 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

Cassondra Jo Otten Psy.d., Lp 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 ID42609372
PECOS Enrollment IDI20211108002103
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.

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.

Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125

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 Cassondra Otten's NPI number?

The NPI number for Cassondra Otten is 1386158574. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Cassondra Otten located?

Cassondra Otten practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Cassondra Otten's specialty?

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

Is Cassondra Otten enrolled in Medicare?

Yes. Cassondra Otten 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 Cassondra Otten accept?

Health plans from HealthPartners list Cassondra Otten 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 Cassondra Otten was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.