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

Active since September 21, 2006PECOS Enrolled
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301(320) 255-0343(320) 654-0318 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Gwen Pedersen LLC
Same address
Marriage & Family Therapist
600 25TH AVE S STE 109
Saint Cloud, MN 56301
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1750090858 (320) 260-8313

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 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
600 25TH AVE S STE 109
SAINT CLOUD, MN 56301
Stearns County (320) 255-0343
MS. JULIE KIEKE MA LMFT
Marriage & Family Therapist
600 25TH AVE S STE 109
SAINT CLOUD, MN 56301
Stearns County (320) 255-0343
320 COUNSELING , LLC
Social Worker (Clinical)
600 25TH AVE S STE 109
SAINT CLOUD, MN 56301
Stearns County (507) 202-4631
GWEN PEDERSEN LLC
Marriage & Family Therapist
600 25TH AVE S STE 109
SAINT CLOUD, MN 56301
Stearns County (320) 260-8313
AMBER LEI MORRIGHAN M.A., LMFT
Marriage & Family Therapist
600 25TH AVE S STE 109
SAINT CLOUD, MN 56301
Stearns County (320) 255-0343

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 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.

Where is Gwen Pedersen located?

Gwen Pedersen practices at 600 25th Ave S Ste 109, Saint Cloud, MN 56301. The listed phone number is (320) 255-0343.

What is Gwen Pedersen's specialty?

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

Is Gwen Pedersen enrolled in Medicare?

Yes. Gwen Pedersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gwen Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwen Pedersen reassigns Medicare benefits to Gwen Pedersen LLC (Saint Cloud, 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 Gwen Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwen Pedersen accept?

Health plans from HealthPartners list Gwen Pedersen 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 Gwen Pedersen was last updated on February 20, 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.