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SCOTT MICHAEL WISGERHOF LPCC
NPI 1467929760
Counselor - Professional in Saint Paul, MN

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment
2265 COMO AVE, SAINT PAUL, MN 55108(866) 821-0281 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Michael Wisgerhof Lpcc NPPES

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

SCOTT MICHAEL WISGERHOF LPCC (NPI 1467929760) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (1956) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467929760
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSCOTT MICHAEL WISGERHOFCredential: LPCC
Location Address2265 COMO AVESaint Paul, MN 55108-1737
Mailing Address2265 Como AveSaint Paul, MN 55108-1737
Phone(866) 821-0281
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 25, 2018
✔ NPI 1467929760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 1956
2265 COMO AVE, Saint Paul, MN 55108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Scott Michael Wisgerhof Lpcc 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 ID1850735515
PECOS Enrollment IDI20240221001791
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 Scott Wisgerhof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emily Program P C
Same address
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MICHAEL HILMAR WAGNER R.D., L.D.
Nutritionist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
STEFANIE KAITLYN JENSEN RD, LD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323

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 Scott Wisgerhof's NPI number?

The NPI number for Scott Wisgerhof is 1467929760. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Scott Wisgerhof located?

Scott Wisgerhof practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (866) 821-0281.

What is Scott Wisgerhof's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Scott Wisgerhof enrolled in Medicare?

Yes. Scott Wisgerhof 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 Scott Wisgerhof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wisgerhof reassigns Medicare benefits to Emily Program P C (St Paul, 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 Scott Wisgerhof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Wisgerhof accept?

Health plans from HealthPartners list Scott Wisgerhof 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 Scott Wisgerhof was last updated on October 25, 2018. 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.