DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) – Clinical Psychologist, NPI 1023197522

DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) is a healthcare provider. based in Moorhead, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. LP. They hold a License No. LP4052 (MN). The NPI Number for DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) is 1023197522

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP)
NPI
1023197522
Phone
(218) 731-2320
Address
1132 28TH AVE S
Enumeration Date
3 November 2006
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634215535
Graduation Year
2009 (17 years ago)
PAC ID
1759428873
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20091022000275
Address ID
MN553032424AN1833XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP)

  • 1132, 28th Avenue South, Moorhead, Clay County, Minnesota, 56560, United States

    SUITE 102

    MOORHEAD, MN 565604420

    Phone: (218) 731-2320

    Fax: (218) 867-3712

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091022000275IClinical PsychologistMN2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204178528View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistAK
Nurse PractitionerMN
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP)?
DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) — NPI 1023197522 — is the standard way to identify this listing.
Is DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) listed as active for patients and plans?
The listing shows DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) as active in the NPI system.
What is DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) best known for clinically?
Directory data describes DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) list a practice location?
Patients near Moorhead, Minnesota may find DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) in results; validate coverage separately.
Is the information about DR. CAROL COLLETTE FOLLINGSTAD (PSY.D. LP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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