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NPI · 1194232264 · NPPES-sourced

Lakes Psychological Practice, LLC

ActivePsychologist
NPI Number
1194232264
Type 2 · Organisation
Taxonomy Code
103T00000X
Contact
(612) 568-1475
License MN · LP5667
Last Updated
Enumerated
Primary practice addressMN · 55379-1348
100 Fuller St SShakopee, MN 55379-1348
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About this NPIWhat this record shows.

NPI 1194232264 is registered to Lakes Psychological Practice, LLC, a healthcare organisation classified as "Psychologist" and located at 100 Fuller St S in Shakopee, Minnesota. The organisation's authorised official is Anisa Mohammed. The organisation has been enumerated in the NPI registry since 2018.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakes Psychological Practice, LLC accepts. To confirm in-network status with your specific health plan, contact Lakes Psychological Practice, LLC directly at (612) 568-1475.

Frequently asked

Yes. NPI 1194232264 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (612) 568-1475.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakes Psychological Practice, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103T00000X
Last updated
Enumerated
StatusActive
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partner offer
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