DR. THOMAS JOHN HEGBLOM PHD, LPC, LADC
NPI 1710647425
Counselor - Mental Health in Minneapolis, MN
About Dr. Thomas John Hegblom Phd, Lpc, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS JOHN HEGBLOM PHD, LPC, LADC (NPI 1710647425) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (3597) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Golden Valley.
NPPES Registry Identity
Specialties & Licenses 2
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)
Dr. Thomas John Hegblom Phd, Lpc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thomas Hegblom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
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 Thomas Hegblom's NPI number?
The NPI number for Thomas Hegblom is 1710647425. It was assigned to this individual provider in the NPPES registry on December 21, 2021.
Where is Thomas Hegblom located?
Thomas Hegblom practices at 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416. The listed phone number is (612) 217-2828.
What is Thomas Hegblom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Thomas Hegblom enrolled in Medicare?
Yes. Thomas Hegblom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thomas Hegblom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hegblom reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). The 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 Thomas Hegblom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Hegblom accept?
Health plans from HealthPartners list Thomas Hegblom 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 Thomas Hegblom was last updated on November 2, 2022. 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.
# Dr. Thomas John Hegblom, PHD, LPC, LADC · NPI 1710647425
Mental Health provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since December 21, 2021.
## Identity
- **NPI:** 1710647425 (Entity type: Individual)
- **Enumerated:** December 21, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3597 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3033 EXCELSIOR BLVD STE 215, Minneapolis, MN 55416-5274
- **Phone:** (612) 217-2828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710647425) · Data from the CMS NPPES public registry.