Life Essentials Psychology LLC
NPI 1124572235 · Mental Health Clinic/Center (Including Community Mental Health Center) · Andover, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Essentials Psychology LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Andover, MN (NPI 1124572235).
Provider details
- NPI number
- 1124572235
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thao-Ha Phan, Member(763) 317-8255
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Life Essentials Psychology LLC's NPI number?
- Life Essentials Psychology LLC's National Provider Identifier (NPI) is 1124572235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Essentials Psychology LLC?
- Life Essentials Psychology LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Life Essentials Psychology LLC located?
- Life Essentials Psychology LLC's practice location on file with NPPES is 13750 Crosstown Dr Nw Ste 10, Andover, MN 55304-5853.
- What is Life Essentials Psychology LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Essentials Psychology LLC is (763) 317-8255.
- Does Life Essentials Psychology LLC accept Medicare?
- Life Essentials Psychology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Essentials Psychology LLC?
- The authorized official listed on Life Essentials Psychology LLC's NPPES record is Thao-Ha Phan, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Essentials Psychology LLC's NPI active?
- Yes — Life Essentials Psychology LLC's NPI (1124572235) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.