SOUTHERN VALLEY PSYCHOLOGY CLINIC, PA
NPI 1407990807
Counselor - Professional in Mankato, MN
About Southern Valley Psychology Clinic, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN VALLEY PSYCHOLOGY CLINIC, PA (NPI 1407990807) is a healthcare organization registered as a professional in Mankato, Minnesota and active in the NPI registry since February 2007. The organization lists Barbara Glass, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Valley Psychology Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Valley Psychology Clinic, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southern Valley Psychology Clinic, PA's NPI number?
The NPI number for Southern Valley Psychology Clinic, PA is 1407990807. It was assigned to this organization in the NPPES registry on February 18, 2007.
Where is Southern Valley Psychology Clinic, PA located?
Southern Valley Psychology Clinic, PA is located at 11 Civic Center Plz Ste 201, Mankato, MN 56001. The listed phone number is (507) 385-7725.
What is Southern Valley Psychology Clinic, PA's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Southern Valley Psychology Clinic, PA enrolled in Medicare?
Yes. Southern Valley Psychology Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Valley Psychology Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Southern Valley Psychology Clinic, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Valley Psychology Clinic, PA accept?
Health plans from HealthPartners list Southern Valley Psychology Clinic, PA 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 Southern Valley Psychology Clinic, PA was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southern Valley Psychology Clinic, Pa · NPI 1407990807
Professional organization in Mankato, Minnesota. Organization record, active in the CMS NPPES registry since February 18, 2007.
## Identity
- **NPI:** 1407990807 (Entity type: Organization)
- **Enumerated:** February 18, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Barbara Glass, PARTNER
## Practice location
- **Address:** 11 CIVIC CENTER PLZ, STE 201, Mankato, MN 56001-7710
- **Phone:** (507) 385-7725 · **Fax:** (507) 385-0576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2013
- **Other identifiers:** Other 1383 (MN); Medicaid 241913100 (MN); Medicare PIN C04086 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1407990807) · Data from the CMS NPPES public registry.