INTREPID MENTAL HEALTH LLC
NPI 1497506299
Clinic/Center - Mental Health (Including Community Mental Health Center) in Marshall, MN
About Intrepid Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTREPID MENTAL HEALTH LLC (NPI 1497506299) is a healthcare organization registered as a mental health (including community mental health center) in Marshall, Minnesota and active in the NPI registry since March 2024. The organization lists Jessica Paulsen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Intrepid Mental Health Llc 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 Intrepid Mental Health LLC, 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 Intrepid Mental Health LLC's NPI number?
The NPI number for Intrepid Mental Health LLC is 1497506299. It was assigned to this organization in the NPPES registry on March 29, 2024.
Where is Intrepid Mental Health LLC located?
Intrepid Mental Health LLC is located at 200 E College Dr Ste 108, Marshall, MN 56258. The listed phone number is (501) 591-0055.
What is Intrepid Mental Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Intrepid Mental Health LLC enrolled in Medicare?
Yes. Intrepid Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intrepid Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Intrepid Mental Health LLC. 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.
When was this NPI record last updated?
The NPPES record for Intrepid Mental Health LLC was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Intrepid Mental Health Llc · NPI 1497506299
Mental Health (Including Community Mental Health Center) organization in Marshall, Minnesota. Organization record, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1497506299 (Entity type: Organization)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jessica Paulsen, OWNER
## Practice location
- **Address:** 200 E COLLEGE DR STE 108, Marshall, MN 56258-1365
- **Phone:** (501) 591-0055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1497506299) · Data from the CMS NPPES public registry.