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Holley J. Mathieu , MS

Psychologist β€’ Brainerd, MN

Active NPI 1669411526 Individual Practitioner Female Practitioner
Practice location in NPPES

823 Maple St
Brainerd, MN 564013770

Call 2188412109 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

823 Maple St

Brainerd, MN 564013770

Telephone 2188412109

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Holley Mathieu has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Holley Mathieu as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brainerd and Minnesota

9 active clinicians are listed under Psychologist with a practice address in Brainerd, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-11-14
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN LP3062

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
144528600 (MN)
Other Identifier Preferredone
1016931 (MN)
Other Identifier Ucare Minnesota
116591 (MN)
Other Identifier Blue Shield Of Minnesota
51Q34AR (MN)
Other Identifier Healthpartners
HP24141 (MN)
Other Identifier United Behavioral Health
62-02903 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20230306001460

Enrollment State Jurisdiction

MN

PECOS Control ID

9537532908

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 14, 2022

Registered at 823 MAPLE ST, BRAINERD, MN 564013770 (Tel: 2188412109)

πŸ“
Updated Business Mailing Address November 14, 2022

Registered at 823 MAPLE ST, BRAINERD, MN 564013770 (Tel: 2188412109)

πŸ‘€
Provider Name / Credentials Updated November 14, 2022

Recorded as HOLLEY MATHIEU, M.S.

βœ…
NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2014

Registered at 980 S TOWER RD, FERGUS FALLS, MN 565375505 (Tel: 2187366987)

πŸ“
Business Mailing Address (Initial Record) April 15, 2014

Registered at 301 450TH ST STE E, PERHAM, MN 565732411

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2014

Recorded as HOLLEY SIMONSON, M.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Psychologist (license number reported to NPPES: MN LP3062)

🟒
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669411526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: November 14, 2022
Sole Proprietor: No

Mailing Address

823 Maple St

Brainerd, MN 564013770

Phone: 2188412109

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.