JON D. FORSBERG MA
NPI 1609329234
Counselor - Mental Health in Fridley, MN

Active since August 01, 2016PECOS Enrolled
5155 E RIVER RD STE 401, FRIDLEY, MN 55421(763) 438-4038(763) 780-3306 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jon D. Forsberg Ma NPPES

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

JON D. FORSBERG MA (NPI 1609329234) is an individual mental health provider in Fridley, Minnesota and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609329234
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJON D. FORSBERGCredential: MA
Location Address5155 E RIVER RD STE 401Fridley, MN 55421-3777
Mailing Address5155 E River Rd Ste 401Fridley, MN 55421-3777 · (763) 438-4038 · Fax (763) 780-3306
Fax(763) 780-3306
Sole ProprietorNo
Enumeration DateAugust 1, 2016
Last NPPES UpdateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1609329234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5155 E RIVER RD STE 401, Fridley, MN 55421

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)

Jon D. Forsberg Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jon Forsberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1600 UNIVERSITY AVE W STE 12
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group
Community/Behavioral Health
1551 PAYNE AVE
Saint Paul, MN 55130
  • Reassigned Medicare billing, Minnesota enrollment
  • 12 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Marriage & Family Therapist
5155 E RIVER RD STE 401
MINNEAPOLIS, MN 55421
Marriage & Family Therapist
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Counselor (Mental Health)
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Counselor (Mental Health)
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Marriage & Family Therapist
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Marriage & Family Therapist
5155 E RIVER RD STE 401
FRIDLEY, MN 55421
Social Worker (Clinical)
5155 E RIVER RD STE 401
FRIDLEY, MN 55421

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 Jon Forsberg's NPI number?

The NPI number for Jon Forsberg is 1609329234. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Jon Forsberg located?

Jon Forsberg practices at 5155 E River Rd Ste 401, Fridley, MN 55421. The listed phone number is (763) 438-4038.

What is Jon Forsberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jon Forsberg enrolled in Medicare?

Yes. Jon Forsberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Forsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Forsberg reassigns Medicare benefits to 2 organizations: Natalis Counseling And Psychology Solutions, P.A. (Saint Paul, MN) and Lighthouse Psychological Services Inc (Saint Paul, 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 Jon Forsberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Forsberg accept?

Health plans from HealthPartners list Jon Forsberg 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 Jon Forsberg was last updated on April 29, 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.