HEATHER GUNDERSON LICSW
NPI 1952557126
Social Worker - Clinical in Shoreview, MN

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 486-3808(651) 486-3858 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Gunderson Licsw NPPES

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

HEATHER GUNDERSON LICSW (NPI 1952557126) is an individual clinical provider in Shoreview, Minnesota, licensed in Minnesota (17529) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1952557126
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER GUNDERSONCredential: LICSW
Location Address3490 LEXINGTON AVE NShoreview, MN 55126-8074
Mailing Address6425 Nicollet AveRichfield, MN 55423-1675 · (612) 861-1675 · Fax (612) 861-3446
Fax(651) 486-3858
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 7, 2008
Last NPPES UpdateOctober 27, 2014
NPI 1952557126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 17529
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3490 LEXINGTON AVE N, Shoreview, MN 55126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Gunderson Licsw 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 ID2567683303
PECOS Enrollment IDI20141021001301
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
97 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 15

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

Counselor
3490 LEXINGTON AVE N
SHOREVIEW, MN 55126
Counselor (Professional)
3490 LEXINGTON AVE N
SHOREVIEW, MN 55126
Speech-Language Pathologist
3490 LEXINGTON AVE N, SUITE 305
SHOREVIEW, MN 55126
Social Worker (Clinical)
3490 LEXINGTON AVE N, #205
SHOREVIEW, MN 55126
Marriage & Family Therapist
3490 LEXINGTON AVE N
SHOREVIEW, MN 55126
Marriage & Family Therapist
3490 LEXINGTON AVE N
SHOREVIEW, MN 55126
Speech-Language Pathologist
3490 LEXINGTON AVE N, SUITE 305
SHOREVIEW, MN 55126
Social Worker (Clinical)
3490 LEXINGTON AVE N, SUITE 205
SHOREVIEW, MN 55126

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 Heather Gunderson's NPI number?

The NPI number for Heather Gunderson is 1952557126. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Heather Gunderson located?

Heather Gunderson practices at 3490 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 486-3808.

What is Heather Gunderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Gunderson enrolled in Medicare?

Yes. Heather Gunderson 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.

When was this NPI record last updated?

The NPPES record for Heather Gunderson was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.