Innovative Psychological Consultants, LLC
NPI 1942221080 · Addiction (Substance Use Disorder) Psychologist · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Psychological Consultants, LLC is a Addiction (Substance Use Disorder) Psychologist organization in Maple Grove, MN (NPI 1942221080).
Provider details
- NPI number
- 1942221080
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christian Anderson, Ceo(763) 416-4167
- License
- LP4615 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
- 2006-07-22
- Last updated
- 2025-09-11
Frequently asked questions
- What is Innovative Psychological Consultants, LLC's NPI number?
- Innovative Psychological Consultants, LLC's National Provider Identifier (NPI) is 1942221080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Psychological Consultants, LLC?
- Innovative Psychological Consultants, LLC is classified in the NPPES registry as Addiction (Substance Use Disorder) Psychologist (Behavioral Health & Social Service Providers).
- Where is Innovative Psychological Consultants, LLC located?
- Innovative Psychological Consultants, LLC's practice location on file with NPPES is 7372 Kirkwood Ct, Maple Grove, MN 55369-5202.
- What is Innovative Psychological Consultants, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Psychological Consultants, LLC is (763) 416-4167.
- Does Innovative Psychological Consultants, LLC accept Medicare?
- Innovative Psychological Consultants, 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 Innovative Psychological Consultants, LLC?
- The authorized official listed on Innovative Psychological Consultants, LLC's NPPES record is Christian Anderson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Psychological Consultants, LLC's NPI active?
- Yes — Innovative Psychological Consultants, LLC's NPI (1942221080) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.