<unavail> in Burnsville, MN - Medicare Psychologist

is a medicare enrolled mental health clinic (Psychologist - Clinical) in Burnsville, Minnesota. The current practice location for is 200 E Travelers Trl Ste 205, Burnsville, Minnesota. For appointments, you can reach them via phone at (612) 249-0269. The mailing address for is 200 E Travelers Trl Ste 205, Burnsville, Minnesota and phone number is (612) 249-0269.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649893587. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (612) 249-0269.

Contact Information


	200 E Travelers Trl Ste 205 Burnsville MN 55337-4191
	(612) 249-0269
	(612) 249-8540

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychologist
Location	200 E Travelers Trl Ste 205, Burnsville, Minnesota
Authorized Official Name and Position	Nicole M. Johnson Psyd Lp (OWNER/LICENSED PSYCHOLOGIST)
Authorized Official Contact	6122490287
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
200 E Travelers Trl Ste 205 Burnsville MN 55337-4191 Ph: (612) 249-0269	200 E Travelers Trl Ste 205 Burnsville MN 55337-4191 Ph: (612) 249-0269

NPI Details:

NPI Number	1649893587
Provider Enumeration Date	05/27/2020
Last Update Date	09/11/2020
Certification Date	09/11/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	0749606572
Medicare Enrollment ID	O20200811002780

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649893587	NPI	-	NPPES
1649893587	Other	MN	NPI II

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	(* (Not Available))	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kelsey J Mccarston
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1518439702 PECOS PAC ID: 1254679699 Enrollment ID: I20190211002507

Reviews and Comments

Psychologist in Burnsville, MN

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- Medicare Mental Health Clinic in Burnsville, MN