MARCY BETH JENSEN HALVORSON PHD
NPI 1922628791
Psychologist in Maplewood, MN

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
2115 COUNTY ROAD D E STE C100, MAPLEWOOD, MN 55109(651) 358-7020 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marcy Beth Jensen Halvorson Phd NPPES

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

MARCY BETH JENSEN HALVORSON PHD (NPI 1922628791) is an individual psychologist in Maplewood, Minnesota, licensed in Minnesota (LP4818) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922628791
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARCY BETH JENSEN HALVORSONCredential: PHD
Location Address2115 COUNTY ROAD D E STE C100Maplewood, MN 55109-5354
Mailing Address2115 County Road D E Ste C100Maplewood, MN 55109-5354 · (651) 358-7020
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1922628791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP4818
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2115 COUNTY ROAD D E STE C100, Maplewood, MN 55109

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcy Beth Jensen Halvorson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385048248
PECOS Enrollment IDI20210813003053
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

3

Medicare enrollment records show Marcy Halvorson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
1650 BEAM AVE STE 200
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Psychiatry
2115 COUNTY ROAD D E STE C
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 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

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

Nurse Practitioner (Psychiatric/Mental Health)
2115 COUNTY ROAD D E STE C100
MAPLEWOOD, MN 55109

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 Marcy Halvorson's NPI number?

The NPI number for Marcy Halvorson is 1922628791. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Marcy Halvorson located?

Marcy Halvorson practices at 2115 County Road D E Ste C100, Maplewood, MN 55109. The listed phone number is (651) 358-7020.

What is Marcy Halvorson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Marcy Halvorson enrolled in Medicare?

Yes. Marcy Halvorson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marcy Halvorson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcy Halvorson reassigns Medicare benefits to 3 organizations: Fairview Express Care (Maplewood, MN), Summit Clinics PLLC (Maplewood, MN) and Fairview Specialty Services (Saint Paul, 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 Marcy Halvorson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcy Halvorson accept?

Health plans from Sanford Health Plan list Marcy Halvorson 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 Marcy Halvorson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.