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MARYBETH KIMBALL GAGE EHLERT MSW, LICSW
NPI 1851924245
Social Worker - Clinical in Minnetonka, MN

Active since February 13, 2020PECOS Enrolled
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343(612) 501-6279 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2022, Jun 6, 2022, Feb 13, 2020 (3 updates tracked since 2020).

About Marybeth Kimball Gage Ehlert Msw, Licsw NPPES

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

MARYBETH KIMBALL GAGE EHLERT MSW, LICSW (NPI 1851924245) is an individual clinical provider in Minnetonka, Minnesota, licensed in Minnesota (27432) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851924245
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARYBETH KIMBALL GAGE EHLERTCredential: MSW, LICSW
Location Address12301 WHITEWATER DR STE 101Minnetonka, MN 55343-4157
Mailing Address12301 Whitewater Dr Ste 101Minnetonka, MN 55343-4157 · (952) 999-6097
Phone(612) 501-6279
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 13, 2020
Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1851924245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 27432
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12301 WHITEWATER DR STE 101, Minnetonka, MN 55343
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marybeth Kimball Gage Ehlert Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749660348
PECOS Enrollment IDI20220629000168
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marybeth Ehlert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sonder Behavioral Health & Wellness, Inc.
Same address
Clinical
12301 WHITEWATER DR, STE 101
Minnetonka, MN 55343
  • Reassigned Medicare billing, Minnesota enrollment
  • 37 clinicians in this Medicare group
NPI 1780031732 (952) 999-6097
Affinity Psychological Services, P.C.
4.6 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA ANN JAAP M.A., L.P.
Psychologist (Counseling)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
AMANDA DREWEK PA
Physician Assistant
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
MRS. MARGARET MARY CZERNIA MS, LPCC
Counselor (Mental Health)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
DR. JENNIFER ELIZABETH DUCHSCHERE PHD, LP
Psychologist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (651) 321-8515
MICHAELA MARIE BUCCHIANERI PH.D, LP
Psychologist (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
REBECA EMILY GENDLER
Counselor (Mental Health)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
CASSIE BILLUPS MA
Marriage & Family Therapist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (920) 660-0852
KELLY NICOLE GADOLA LICSW
Social Worker (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097

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 Marybeth Ehlert's NPI number?

The NPI number for Marybeth Ehlert is 1851924245. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Marybeth Ehlert located?

Marybeth Ehlert practices at 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343. The listed phone number is (612) 501-6279.

What is Marybeth Ehlert's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Marybeth Ehlert enrolled in Medicare?

Yes. Marybeth Ehlert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marybeth Ehlert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marybeth Ehlert reassigns Medicare benefits to 2 organizations: Sonder Behavioral Health & Wellness, Inc. (Minnetonka, MN) and Affinity Psychological Services, P.C. (Edina, MN). Each 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 Marybeth Ehlert'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 Marybeth Ehlert was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.