Caspersen Therapy Center - Medicare Mental Health Clinic in Golden Valley, MN

Caspersen Therapy Center is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Golden Valley, Minnesota. The current practice location for Caspersen Therapy Center is 4284 Dahlberg Dr, Golden Valley, Minnesota. For appointments, you can reach them via phone at (952) 428-6332. The mailing address for Caspersen Therapy Center is 4284 Dahlberg Dr, Golden Valley, Minnesota and phone number is (952) 428-6332.

Caspersen Therapy Center is licensed to practice in Minnesota (license number 12770). The clinic also participates in the medicare program and its NPI number is 1225326036. 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 (952) 428-6332.

Contact Information

Caspersen Therapy Center
4284 Dahlberg Dr
Golden Valley
MN 55422-4805
(952) 428-6332
(952) 562-2827

Mental Health Clinic Profile

Full NameCaspersen Therapy Center
SpecialityClinic/Center
Location4284 Dahlberg Dr, Golden Valley, Minnesota
Authorized Official Name and PositionJohn R. Stillman (OWNER)
Authorized Official Contact6125582705
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Caspersen Therapy Center
4284 Dahlberg Dr
Golden Valley
MN 55422-4805

Ph: (952) 428-6332
Caspersen Therapy Center
4284 Dahlberg Dr
Golden Valley
MN 55422-4805

Ph: (952) 428-6332

NPI Details:

NPI Number1225326036
Provider Enumeration Date07/13/2011
Last Update Date07/13/2021
Certification Date07/13/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4587997259
Medicare Enrollment IDO20190612000608

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Medical Identifiers

Medical identifiers for Caspersen Therapy Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225326036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 12770 (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. Caspersen Therapy Center acts as a billing entity for following providers:
Provider NameJohn R Stillman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710920608
PECOS PAC ID: 8729066030
Enrollment ID: I20040713000385

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Provider NameMartha Anderson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1063431815
PECOS PAC ID: 8426400508
Enrollment ID: I20240115001430

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