LIFE ESSENTIALS PSYCHOLOGY LLC
NPI 1124572235
Clinic/Center - Mental Health (Including Community Mental Health Center) in Andover, MN

Active since August 05, 2016
13750 CROSSTOWN DR NW STE 10, ANDOVER, MN 55304(763) 317-8255(855) 913-2522 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Mar 22, 2025, Feb 28, 2022 and 4 more (7 updates tracked since 2017).

About Life Essentials Psychology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ESSENTIALS PSYCHOLOGY LLC (NPI 1124572235) is a healthcare organization registered as a mental health (including community mental health center) in Andover, Minnesota and active in the NPI registry since August 2016. The organization lists Thao-ha Phan, Member, as its authorized official.

NPPES Registry Identity

NPI1124572235
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIFE ESSENTIALS PSYCHOLOGY LLC
Location Address13750 CROSSTOWN DR NW STE 10Andover, MN 55304-5853
Mailing Address13750 Crosstown Dr Nw Ste 10Andover, MN 55304-5853 · (763) 317-8255 · Fax (855) 913-2522
Fax(855) 913-2522
Organization SubpartNo
Authorized OfficialThao-ha PhanMember · (763) 317-8255
Enumeration DateAugust 5, 2016
Last NPPES UpdateOctober 10, 20257 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1124572235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
13750 CROSSTOWN DR NW STE 10, Andover, MN 55304

Other Identifiers 1

Medicaid1124572235MN

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Counselor (Mental Health)
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Counselor (Addiction (Substance Use Disorder))
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Marriage & Family Therapist
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Counselor (Mental Health)
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Essentials Psychology LLC's NPI number?

The NPI number for Life Essentials Psychology LLC is 1124572235. It was assigned to this organization in the NPPES registry on August 5, 2016.

Where is Life Essentials Psychology LLC located?

Life Essentials Psychology LLC is located at 13750 Crosstown Dr NW Ste 10, Andover, MN 55304. The listed phone number is (763) 317-8255.

What is Life Essentials Psychology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Life Essentials Psychology LLC accept?

Health plans from HealthPartners list Life Essentials Psychology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Essentials Psychology LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.