MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) – Psychologist, NPI 1548354640

MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) is a healthcare provider. based in Moorhead, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LICENSED PSYCHOLOGIS. They hold a License No. 3487 (MN). The NPI Number for MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) is 1548354640

Main info

Male
35 Years Of Experience
Name
MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)
NPI
1548354640
Phone
(218) 287-4338
Address
891 BELSLY BLVD
Enumeration Date
3 October 2006
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2189793560
Graduation Year
1991 (35 years ago)
PAC ID
5294014569
Group Practice PAC ID
2365893369
Professional Enrollment ID
I20240625003042
Address ID
MN565605000MO819XXSXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)

  • 891, Belsly Boulevard, Moorhead, Clay County, Minnesota, 56560, United States

    MOORHEAD, MN 565605055

    Phone: (218) 287-4338

    Fax: (218) 287-5928

    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: 2024-06-25

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
I20240625003042IMental 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 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: 2365893369View full group profile
NameSpecialtyState
Clinical Social WorkerND
Mental Health CounselorND
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What is the standard ID for MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) in the U.S.?
In the U.S., MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) is identified by NPI 1548354640.
Quick check: is MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) active?
Public NPPES data shows MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) with an active NPI status right now.
What services align with MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)'s listing?
MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)?
MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS) is associated with Moorhead, Minnesota in the same public data insurers reference.
Can I export MR. JAMES R KNUTSON (LICENSED PSYCHOLOGIS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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