THOMAS KENNISON
NPI 1760731731
Social Worker - Clinical in Robbinsdale, MN

NPI Status: Active since September 05, 2012

Contact Information

3300 OAKDALE AVE N
ROBBINSDALE, MN
ZIP 55422
Phone: (763) 581-8900
Fax: (763) 581-8901

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  • Individual
  • Male
  • Years of Experience 14
  • Social Worker
  • Clinical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About THOMAS KENNISON

This page provides the complete NPI Profile along with additional information for Thomas Kennison, a provider established in Robbinsdale, Minnesota with a medical specialization in Social Worker, focusing in clinical and more than 14 years of experience. He graduated from University Of Louisville School Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1760731731 assigned on September 2012. The practitioner's primary taxonomy code is 1041C0700X with license number 26217 (MN). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1760731731
Provider Name
THOMAS KENNISON
Gender
Male
Entity Type
Individual
Location Address
3300 OAKDALE AVE N ROBBINSDALE, MN 55422
Location Phone
(763) 581-8900
Location Fax
(763) 581-8901
Mailing Address
3300 OAKDALE AVE N ROBBINSDALE, MN 55422
Mailing Phone
(763) 581-8900
Mailing Fax
(763) 581-8901
Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
09-05-2012
Last Update Date
07-21-2022
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A clinical social worker like Thomas Kennison is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
26217
License State
MN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

6427 (KY)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

089-0107445 (VT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Thomas Kennison is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Thomas Kennison is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 648597393

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171010002848

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55422 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for THOMAS KENNISON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760731731
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120143276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 3 + 2 + 7 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1760731731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891795928 BRIAN J DE MICHAELIS MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1003816075 WILLIAM NATHAN LISBERG MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1336149467 BRIAN THOMAS LARKIN MD
Individual
Radiology (Body Imaging)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1932109980 MARIA DE LOURDES AZEVEDO GOMES MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1629078753 PATRICIA ELLEN BRUER MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1861492902 JEFFREY L GROFFSKY MD
Individual
Radiology (Vascular & Interventional Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1821099748 DENNIS ARTHUR WOOLNER MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1023019759 TROY DEAN LONG MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1487655122 NELLIE H BAUER MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N MN DIAGNOSTIC IMAGING PARNTERS LLC
ROBBINSDALE, MN 55422
(763) 559-2171
1811998537 DAVID P WICKLUND MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1558362947 JEFFREY RONALD GAMBACH MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1043212855 MARK ALAN PILOT MD
Individual
Radiology (Diagnostic Ultrasound)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1588656763 RICHARD D BELKIN MD
Individual
Radiology (Diagnostic Radiology)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1194717371 WILLIAM D MCMILLAN MD
Individual
Surgery (Vascular Surgery)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1851383574 TIMOTHY J REINERS MD
Individual
Radiology (Body Imaging)3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 559-2171
1457331449 TODD A BUTLER CRNA, MS
Individual
Nurse Anesthetist, Certified Registered3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 520-1926
1497735674MRS. LINDA Y LIEN SANKS PAC
Individual
Physician Assistant3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 520-5609
1497721351 SHAWN M MCGURRAN PHARM.D.
Individual
Pharmacist3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 520-5634
1447219522MRS. PAMELA JEAN PATNODE NURSE
Individual
Registered Nurse3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
(763) 520-4800
1720048556NORTH PATHOLOGY ASSOCIATES PLLP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
(763) 520-5521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760731731, enumerated in the NPI registry as an "individual" on September 05, 2012

The provider is located at 3300 Oakdale Ave N Robbinsdale, Mn 55422 and the phone number is (763) 581-8900

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 14 years of experience. He graduated from University Of Louisville School Of Medicine in 2012.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.