Tessa Elizabeth Larson Wolden, ATR, LPCC in Edina, MN

Tessa Elizabeth Larson Wolden, ATR, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Edina, Minnesota. Her current practice location is 7401 Metro Blvd Ste 250, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 268-5858.

Tessa Elizabeth Larson Wolden is licensed to practice in Minnesota (license number 1907) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043790272.

Contact Information

	Tessa Elizabeth Larson Wolden, ATR, LPCC
	7401 Metro Blvd Ste 250, Edina, MN 55439-3062
	(612) 268-5858
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tessa Elizabeth Larson Wolden
Gender	Female
Speciality	Counselor - Mental Health
Location	7401 Metro Blvd Ste 250, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043790272
Provider Enumeration Date: 08/16/2018
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8527408947
Enrollment ID: I20240502002080

Medical Identifiers

Medical identifiers for Tessa Elizabeth Larson Wolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043790272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1907 (Minnesota)	Secondary
221700000X	Art Therapist	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	1907 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tessa Elizabeth Larson Wolden allows following entities to bill medicare on her behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tessa Elizabeth Larson Wolden is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tessa Elizabeth Larson Wolden, ATR, LPCC 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 268-5858	Tessa Elizabeth Larson Wolden, ATR, LPCC 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 268-5858

Reviews and Comments

Counselor in Edina, MN

Stephen Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd Ste 220, Edina, MN 55439 Phone: 952-220-7164
Elizabeth Kaye Dumke, MS, LPCC, ATR Counselor Medicare: Medicare Enrolled Practice Location: 4820 W 77th St Ste 130, Edina, MN 55435 Phone: 651-313-8080 Fax: 651-925-0610
John Rundquist, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7250 Metro Blvd Ste 100, Edina, MN 55439 Phone: 612-374-0506 Fax: 651-323-2051
Jille Neiman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7602 York Ave S Apt 7115, Edina, MN 55435 Phone: 612-251-8320
Mr. Kyle J Slawson, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 952-831-2000
Kelly Lee Wilkinson, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 6363 France Ave S, Edina, MN 55435 Phone: 952-903-1275

Tessa Elizabeth Larson Wolden, ATR, LPCC - Medicare Counselor in Edina, MN