Madalyn Pederson
Mental Health Counselor · Bemidji, MN
Madalyn Pederson is a mental health counselor with a practice address in Bemidji, Minnesota, and NPI 1003576638, issued on Dec 22, 2021. Check the license (Minnesota 4792, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Madalyn Pederson
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- 4792 MN
Self-reported in NPPES; status is on the state search - Practice location
- 112 1St St W, Bemidji, MN 56601
- Phone
- (218) 888-8032
- Enumerated
- Dec 22, 2021
- Record last updated
- Jan 16, 2025
- Medicare enrollment
- Enrolled (PECOS I20250130002466); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 112 1St St W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rochelle Anderson, MA, LPCCProfessional Counselor1417382938
- Roxanne BanksMental Health Counselor1457196131
- Jan Birch, MSW, LICSWClinical Social Worker1932811429
- Shawna Burnham, LICSWClinical Social Worker1770099731
- Melissa Fairchild, CNPPsychiatric/Mental Health Nurse Practitioner1679140750
- Melody Gorden, MSW LICSWClinical Social Worker1750888475
Verify Madalyn Pederson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 4792Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Nystrom And Associates LtdBemidji, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
30 mental health counselor records list a practice address in Bemidji
They are 30 of the 917 NPPES records with a practice address in Bemidji, and 4,133 mental health counselor records in Minnesota.
All 30 in Bemidji → All 4,133 in Minnesota → Every provider in Bemidji →
Other mental health counselor records in Minnesota
- Hannah Aase, MA, LAMFTMinnetonka, MN1376135608
- Krystal Aasen, M.ED.,LPCC, LPC, NCCBrainerd, MN1538834403
- Asha AbasBloomington, MN1306602990
- Aurora AbbottVirginia, MN1003545245
- Doaa AbdallahBloomington, MN1750083176
- Maya AbdellaEagan, MN1700648094
- Abdiaziz AbdiBloomington, MN1871083832
- Abdirahman AbdiSaint Cloud, MN1467228742
- Abdirhman AbdiRochester, MN1518727551
- Abdullahi AbdiBloomington, MN1437640828
Common questions
What is Madalyn Pederson's NPI number?
Madalyn Pederson's National Provider Identifier (NPI) is 1003576638, issued on Dec 22, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Madalyn Pederson located?
The NPPES record lists a practice address at 112 1St St W, Bemidji, MN, 56601. Phone: (218) 888-8032. Providers update this record themselves, so call before visiting.
How can I verify Madalyn Pederson's license?
NPPES lists Minnesota license number 4792, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.