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MAYA SEVERSON-MCCORMICK
NPI 1750067021
Counselor - Mental Health in Minneapolis, MN

Active since June 22, 2023PECOS Enrolled
5407 EXCELSIOR BLVD STE B, MINNEAPOLIS, MN 55416(612) 283-9221(952) 920-9323 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 30, 2026, Jun 22, 2023 (2 updates tracked since 2023).

About Maya Severson-mccormick NPPES

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

MAYA SEVERSON-MCCORMICK (NPI 1750067021) is an individual mental health provider in Minneapolis, Minnesota and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750067021
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMAYA SEVERSON-MCCORMICK
Location Address5407 EXCELSIOR BLVD STE BMinneapolis, MN 55416-2932
Mailing Address5407 Excelsior Blvd Ste BMinneapolis, MN 55416-2932 · (612) 283-9221 · Fax (952) 920-9323
Phone(612) 283-9221
Fax(952) 920-9323
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateMay 30, 20262 updates tracked since enumeration
NPPES CertifiedMay 30, 2026
✔ NPI 1750067021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5407 EXCELSIOR BLVD STE B, Minneapolis, MN 55416
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Severson-mccormick 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.

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.

RANDI B DEAL LMFT
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 986-2927
THERESA BENOIT LMFT, LPC
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (952) 922-9332
BRIANNE C HENRY MA
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 750-0510
MS. CALLIE JOYCE MCMILLAN MS
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 483-4994
DAVID FREDMAN MAMFT, M.ED
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (952) 220-9390
ERIN EGERTSON
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (832) 381-4204
CAROL HOOPMAN
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (763) 220-0387
LUCRESHIA GRANT MS
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 483-4994

Frequently Asked Questions

What is Maya Severson-mccormick's NPI number?

The NPI number assigned to this healthcare provider is 1750067021, enumerated as an "individual" on June 22, 2023.

Where is the provider located?

The provider is located at 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 and the phone number is (612) 283-9221.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.