ALEXANDRA D KOHLHASE PSYD
NPI 1639694706
Psychologist - Clinical in Fargo, ND

Q: What is Alexandra Kohlhase's NPI number?

The NPI number for Alexandra Kohlhase is 1639694706. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Q: What is Alexandra Kohlhase's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 09, 2017PECOS EnrolledAccepts Medicare Assignment

1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 364-8906 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 9, 2021, Feb 13, 2020, Dec 21, 2018 and 1 more (4 updates tracked since 2017).

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About Alexandra D Kohlhase Psyd NPPES

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

ALEXANDRA D KOHLHASE PSYD (NPI 1639694706) is an individual clinical provider in Fargo, North Dakota, licensed in Minnesota (LP6671) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639694706

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALEXANDRA D KOHLHASECredential: PSYD

Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(701) 364-3300

Fax(701) 364-8906

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 9, 2017

Last NPPES UpdateApril 9, 20214 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1639694706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MN · LP6671✔ Licensed in KS · 2780

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 2870 (KS)

1702 UNIVERSITY DR S, Fargo, ND 58103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra D Kohlhase Psyd 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 ID3274941927

PECOS Enrollment IDI20210416001698, I20210512002043

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.12 typical visit price

range $55.75 – $168.12

Typical copayment $42.03 (range $13.93 – $42.03)

Most-billed visit code 99205

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BANGALORE S VIJAYALAKSHMI MD

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