JOHN MERRICK MA, LPC
NPI 1871954396
Counselor - Mental Health in Richfield, MN

Active since March 10, 2016PECOS Enrolled
6636 CEDAR AVE S STE 360, RICHFIELD, MN 55423(612) 268-5858 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Merrick Ma, Lpc NPPES

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

JOHN MERRICK MA, LPC (NPI 1871954396) is an individual mental health provider in Richfield, Minnesota and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871954396
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN MERRICKCredential: MA, LPC
Location Address6636 CEDAR AVE S STE 360Richfield, MN 55423-2712
Mailing Address466 Buchanan CtVernon Hills, IL 60061-1346 · (309) 530-7410
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 10, 2016
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1871954396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X · License 178.009374 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.011069 (IL)
6636 CEDAR AVE S STE 360, Richfield, MN 55423

Secondary Practice Locations 2

Location 17401 Metro Blvd Ste 250Edina, MN 55439-3062 · Phone (612) 268-5858
Location 21111 W Lake Cook RdBuffalo Grove, IL 60089-1926 · Phone (309) 557-1442

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)

John Merrick Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789126558
PECOS Enrollment IDI20240607001750
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 John Merrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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 7

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

Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423
Counselor (Mental Health)
6636 CEDAR AVE S STE 360
RICHFIELD, MN 55423

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 John Merrick's NPI number?

The NPI number for John Merrick is 1871954396. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is John Merrick located?

John Merrick practices at 6636 Cedar Ave S Ste 360, Richfield, MN 55423. The listed phone number is (612) 268-5858.

What is John Merrick's specialty?

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

Is John Merrick enrolled in Medicare?

Yes. John Merrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Merrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Merrick 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 John Merrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Merrick accept?

Health plans from HealthPartners list John Merrick 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 John Merrick was last updated on October 14, 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.