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PENNY GIESBRECHT, PSYD LP PA
NPI 1699811752
Psychologist - Clinical in Shoreview, MN

Active since January 29, 2007
521 TANGLEWOOD DR, SHOREVIEW, MN 55126(651) 486-0122(651) 481-8661 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Penny Giesbrecht, Psyd Lp Pa NPPES

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

PENNY GIESBRECHT, PSYD LP PA (NPI 1699811752) is a healthcare organization registered as a clinical in Shoreview, Minnesota and active in the NPI registry since January 2007. The organization lists Penny Sue Giesbrecht, L.p., as its authorized official.

NPPES Registry Identity

NPI1699811752
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePENNY GIESBRECHT, PSYD LP PA
Location Address521 TANGLEWOOD DRShoreview, MN 55126-2016
Mailing Address521 Tanglewood DrShoreview, MN 55126-2016 · (651) 486-0122 · Fax (651) 481-8661
Phone(651) 486-0122
Fax(651) 481-8661
Organization SubpartNo
Authorized OfficialPenny Sue GiesbrechtL.p. · (651) 485-2842
Enumeration DateJanuary 29, 2007
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1699811752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3788
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.
521 TANGLEWOOD DR, Shoreview, MN 55126
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Other Identifiers 4

Medicaid925015800MN
Other2103601MN · Bhp
Other6191037MN · Ubh
Other50Q60GIMN · Bcbs

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)

Penny Giesbrecht, Psyd Lp Pa 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 Penny Giesbrecht, Psyd LP PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Penny Giesbrecht, PSY.D., L.P.
Clinical Psychologist
NPI 1396830758
521 TANGLEWOOD DRIVE
Shoreview, MN 55126
(651) 486-0122
✔ PECOSSame address

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 Penny Giesbrecht, Psyd LP PA's NPI number?

The NPI number for Penny Giesbrecht, Psyd LP PA is 1699811752. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Penny Giesbrecht, Psyd LP PA located?

Penny Giesbrecht, Psyd LP PA is located at 521 Tanglewood Dr, Shoreview, MN 55126. The listed phone number is (651) 486-0122.

What is Penny Giesbrecht, Psyd LP PA's specialty?

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

Is Penny Giesbrecht, Psyd LP PA enrolled in Medicare?

Yes. Penny Giesbrecht, Psyd LP PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penny Giesbrecht, Psyd LP PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Penny Giesbrecht, Psyd LP PA. 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 Penny Giesbrecht, Psyd LP PA was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.