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CARLY GERSHONE MA, LPCC
NPI 1871867283
Counselor - Mental Health in Edina, MN

Active since March 02, 2012PECOS Enrolled
7401 METRO BLVD STE 250, EDINA, MN 55439(612) 268-5858 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Aug 14, 2018 (2 updates tracked since 2018).

About Carly Gershone Ma, Lpcc NPPES

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

CARLY GERSHONE MA, LPCC (NPI 1871867283) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (453) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871867283
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARLY GERSHONECredential: MA, LPCC
Location Address7401 METRO BLVD STE 250Edina, MN 55439-3062
Mailing Address7401 Metro Blvd Ste 250Edina, MN 55439-3062
Phone(612) 268-5858
Sole ProprietorNo
Enumeration DateMarch 2, 2012
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1871867283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 453
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 453 (MN)
7401 METRO BLVD STE 250, Edina, MN 55439
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Gershone Ma, Lpcc 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.

Medicare Billing Reassignment

Medicare enrollment records show Carly Gershone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Psychological Services, P.C.
Same address
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.

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.

DR. AMY HILBURGER
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
TESSA ELIZABETH LARSON WOLDEN ATR, LPCC
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
KELLY STERNHAGEN
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 517-3667
REBECCA SAWYER-SMITH MA
Counselor (Professional)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (763) 218-5493
NICOLE ANN KEEN LICSW
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (773) 648-3928
AFFINITY PSYCHOLOGICAL SERVICES, P.C.
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
SARAH GOKEY MA, LMFT
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858
DENISE LYNN WING M.A., LMFT
Counselor (Mental Health)
7401 METRO BLVD STE 250
EDINA, MN 55439
Hennepin County (612) 268-5858

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 Carly Gershone's NPI number?

The NPI number for Carly Gershone is 1871867283. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Carly Gershone located?

Carly Gershone practices at 7401 Metro Blvd Ste 250, Edina, MN 55439. The listed phone number is (612) 268-5858.

What is Carly Gershone's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carly Gershone enrolled in Medicare?

Yes. Carly Gershone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Gershone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gershone reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, 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 Carly Gershone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Gershone accept?

Health plans from HealthPartners list Carly Gershone 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 Carly Gershone was last updated on October 3, 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.