Claribel Severson, PHD, NCC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1304 Issued in MN

Practice address

401 W Laurel St Ste C
Brainerd, MN 56401-3970

Phone

(218) 454-3288

Fax

(218) 461-3873

NPI assigned

Oct 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The TherapistGroup PAC ID 7618383951, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claribelseverson@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Therapist

  • Professional Counselor
  • Brainerd, MN
  • NPI 1093263113

  MN, Professional

  Medicare reassignment Care Compare group NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1124498084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W LAUREL ST STE C",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013970",
            "telephone_number": "218-454-3288",
            "fax_number": "218-461-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LAUREL ST STE C",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013970",
            "telephone_number": "218-454-3288",
            "fax_number": "218-461-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "CLARIBEL",
        "credential": "PHD, NCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-04",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J Schwarzkopf, PHD LP
• Patricia Diane Scott, M.A.
• Michelle R Seely, CNP
• Select Life Chiropractic, Inc.
• Service Drug of Brainerd, Inc
• Katherine Severson, PHARMD
• Michael Severson
• Victoria Ann Severson, DDS
• Ian A Shields, PA-C
• Megan Lee Sibbert, MSW, LICSW

• All providers in Brainerd, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.