JOEL BERSHOK LICSW
NPI 1497891311
Counselor - Mental Health in Saint Cloud, MN
About Joel Bershok Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOEL BERSHOK LICSW (NPI 1497891311) is an individual mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (25112) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Cloud.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joel Bershok Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Joel Bershok reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, MN 55371
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Joel Bershok's NPI number?
The NPI number for Joel Bershok is 1497891311. It was assigned to this individual provider in the NPPES registry on January 29, 2007.
Where is Joel Bershok located?
Joel Bershok practices at 14 7th Ave N Ste 131, Saint Cloud, MN 56303. The listed phone number is (320) 460-1664.
What is Joel Bershok's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Joel Bershok enrolled in Medicare?
Yes. Joel Bershok is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Joel Bershok's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joel Bershok reassigns Medicare benefits to 3 organizations: Fairview Express Care (Princeton, MN), Fairview Specialty Services (Minneapolis, MN) and Range Regional Health Services (Hibbing, MN). Each 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 Joel Bershok's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joel Bershok accept?
Health plans from Sanford Health Plan list Joel Bershok 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 Joel Bershok was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Joel Bershok, LICSW · NPI 1497891311
Mental Health provider in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1497891311 (Entity type: Individual)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 25112 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 7TH AVE N STE 131, Saint Cloud, MN 56303-4753
- **Phone:** (320) 460-1664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841673647, Princeton, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Range Regional Health Services (NPI 1356321699, Hibbing, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497891311) · Data from the CMS NPPES public registry.