MRS. GWEN KATRINA PEDERSEN M.S. - NPI 1902905516 - Marriage & Family Therapist in Saint Cloud, MN

Q: What is Gwen Pedersen's NPI number?

The NPI number for Gwen Pedersen is 1902905516. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Gwen Pedersen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwen Pedersen was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Gwen Katrina Pedersen M.s. NPPES

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

MRS. GWEN KATRINA PEDERSEN M.S. (NPI 1902905516) is an individual marriage & family therapist in Saint Cloud, Minnesota, licensed in Minnesota (1156) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1902905516

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. GWEN KATRINA PEDERSENCredential: M.S.

Location Address600 25TH AVE S STE 109Saint Cloud, MN 56301-4820

Mailing Address2025 Stearns Way Ste 111Saint Cloud, MN 56303-1275

Phone(320) 255-0343

Fax(320) 654-0318

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 21, 2006

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1902905516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1156

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

600 25TH AVE S STE 109, Saint Cloud, MN 56301

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gwen Katrina Pedersen M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971949215

PECOS Enrollment IDI20240308003704

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 5

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

RESTORING HOPE INDIVIDUAL & FAMILY THERAPY LLC

Marriage & Family Therapist