KELSEY WILLIAMSON LPCC
NPI 1760073191
Counselor - Professional in Burnsville, MN
About Kelsey Williamson Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY WILLIAMSON LPCC (NPI 1760073191) is an individual professional provider in Burnsville, Minnesota, licensed in Minnesota (2562) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Robbinsdale, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Williamson Lpcc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Williamson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsey Williamson's NPI number?
The NPI number for Kelsey Williamson is 1760073191. It was assigned to this individual provider in the NPPES registry on January 28, 2021.
Where is Kelsey Williamson located?
Kelsey Williamson practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8700.
What is Kelsey Williamson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelsey Williamson enrolled in Medicare?
Yes. Kelsey Williamson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelsey Williamson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Williamson reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Kelsey Williamson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Williamson was last updated on September 9, 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.
# Kelsey Williamson, LPCC · NPI 1760073191
Professional provider in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since January 28, 2021.
## Identity
- **NPI:** 1760073191 (Entity type: Individual)
- **Enumerated:** January 28, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2562 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14000 FAIRVIEW DR, Burnsville, MN 55337-5713
- **Phone:** (952) 993-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760073191) · Data from the CMS NPPES public registry.