MINNESOTA PSYCHOLOGICAL RESOURCES
MINNESOTA PSYCHOLOGICAL RESOURCES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1497820039, based in Plymouth, MN. The organization lists 6 taxonomy classifications, with Clinical Social Worker recorded as primary.
Getting there
The practice address on file is 12805 HIGHWAY 55 SUITE 211, Plymouth, MN 55441. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 801884-1-MHC | MN | Clinical Social Worker primary |
| 801884-1-MHC | MN | Mental Health Counselor |
| 801884-1-MHC | MN | Professional Counselor |
| 801884-1-MHC | MN | Clinical Psychologist |
| 801884-1-MHC | MN | Counseling Psychologist |
| 801884-1-MHC | MN | Marriage & Family Therapist |
This provider holds licence 801884-1-MHC issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Clinical covers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. NUCC Health Care Provider Taxonomy, code 1041C0700X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker Clinical | 801884-1-MHC | MN | primary |
| 101YM0800X | Mental Health Counselor Mental Health | 801884-1-MHC | MN | |
| 101YP2500X | Professional Counselor Professional | 801884-1-MHC | MN | |
| 103TC0700X | Clinical Psychologist Clinical | 801884-1-MHC | MN | |
| 103TC1900X | Counseling Psychologist Counseling | 801884-1-MHC | MN | |
| 106H00000X | Marriage & Family Therapist | 801884-1-MHC | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1497820039 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 21, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
12805 HIGHWAY 55 SUITE 211 Plymouth, MN 55441 (763) 550-9005 Fax (763) 559-2118 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 9 | 7 | 8 | 2 | 0 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 9 | 7 | 7 | 2 | 0 | 0 | 6 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.