Life Development Resources, PA
NPI 1902953169 · Community/Behavioral Health Agency · Lakeville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Development Resources, PA is a Community/Behavioral Health Agency organization in Lakeville, MN (NPI 1902953169).
Provider details
- NPI number
- 1902953169
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kim Ross, Program Manager(952) 564-6337
Specialties & taxonomies
Agencies
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-01-03
- Last updated
- 2025-01-18
- Certified
- 2025-01-18
Frequently asked questions
- What is Life Development Resources, PA's NPI number?
- Life Development Resources, PA's National Provider Identifier (NPI) is 1902953169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Development Resources, PA?
- Life Development Resources, PA is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Life Development Resources, PA located?
- Life Development Resources, PA's practice location on file with NPPES is 7580 160th St W, Lakeville, MN 55044-8348.
- What is Life Development Resources, PA's phone number?
- The practice phone number listed in the NPPES registry for Life Development Resources, PA is (952) 898-1133.
- Does Life Development Resources, PA accept Medicare?
- Life Development Resources, PA 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 Development Resources, PA?
- The authorized official listed on Life Development Resources, PA's NPPES record is Kim Ross, Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Development Resources, PA's NPI active?
- Yes — Life Development Resources, PA's NPI (1902953169) is active in the NPPES registry as of the last update on 2025-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.