CLARIBEL SEVERSON (PHD, NCC, LPCC) – Professional Counselor, NPI 1124498084

CLARIBEL SEVERSON (PHD, NCC, LPCC) is a healthcare provider. based in Brainerd, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD, NCC, LPCC. They hold a License No. 1304 (MN). The NPI Number for CLARIBEL SEVERSON (PHD, NCC, LPCC) is 1124498084

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
CLARIBEL SEVERSON (PHD, NCC, LPCC)
NPI
1124498084
Phone
(218) 454-3288
Address
401 W LAUREL ST STE C
Enumeration Date
4 October 2015
Last Update Date
17 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184543288
Graduation Year
2013 (13 years ago)
PAC ID
0345656682
Group Practice PAC ID
7618383951
Professional Enrollment ID
I20241029004196
Address ID
MN564013970BR401XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for CLARIBEL SEVERSON (PHD, NCC, LPCC)

  • 401 W LAUREL ST STE C

    BRAINERD, MN 564013970

    Phone: (218) 454-3288

    Fax: (218) 461-3873

    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: 2024-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20241029004196IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 56401)

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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: 7618383951View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Is there an official ID for CLARIBEL SEVERSON (PHD, NCC, LPCC) in U.S. healthcare records?
The official identifier for CLARIBEL SEVERSON (PHD, NCC, LPCC) is NPI 1124498084.
Is there an active status for CLARIBEL SEVERSON (PHD, NCC, LPCC)?
For scheduling context, CLARIBEL SEVERSON (PHD, NCC, LPCC) is shown as active in the registry.
What kind of doctor is CLARIBEL SEVERSON (PHD, NCC, LPCC)?
CLARIBEL SEVERSON (PHD, NCC, LPCC) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for CLARIBEL SEVERSON (PHD, NCC, LPCC)?
Travel planning: use Brainerd, Minnesota as the reference point for CLARIBEL SEVERSON (PHD, NCC, LPCC), then confirm.
When was this NPI issued?
Enumeration for CLARIBEL SEVERSON (PHD, NCC, LPCC) is noted as October 4, 2015 where the registry provides it.

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