NORTH STAR PSYCHOLOGY LLC
NPI 1699533034
Psychologist in Welch, MN

Active since March 11, 2024
23503 145TH AVE, WELCH, MN 55089(651) 503-5335 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Star Psychology Llc NPPES

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

NORTH STAR PSYCHOLOGY LLC (NPI 1699533034) is a healthcare organization registered as a psychologist in Welch, Minnesota and active in the NPI registry since March 2024. The organization lists Jessica Bleninger, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1699533034
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameNORTH STAR PSYCHOLOGY LLC
Location Address23503 145TH AVEWelch, MN 55089-6028
Mailing Address1807 Market Blvd # 178Hastings, MN 55033-3492
Organization SubpartNo
Authorized OfficialJessica BleningerOwner/psychologist · (615) 503-5335
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1699533034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
23503 145TH AVE, Welch, MN 55089

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Star Psychology 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 North Star Psychology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1821469594
1755 SOUTHCROSS DR W
Burnsville, MN 55306
(952) 898-5020
✔ PECOS29 mi

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 North Star Psychology LLC's NPI number?

The NPI number for North Star Psychology LLC is 1699533034. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is North Star Psychology LLC located?

North Star Psychology LLC is located at 23503 145th Ave, Welch, MN 55089. The listed phone number is (651) 503-5335.

What is North Star Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is North Star Psychology LLC enrolled in Medicare?

Yes. North Star Psychology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Star Psychology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to North Star Psychology 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 North Star Psychology LLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.