ALISSON LASS
NPI 1174359251
Psychologist in Moorhead, MN

Active since September 13, 2024PECOS EnrolledAccepts Medicare Assignment
4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3200 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Sep 13, 2024 (2 updates tracked since 2024).

About Alisson Lass NPPES

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

ALISSON LASS (NPI 1174359251) is an individual psychologist in Moorhead, Minnesota, licensed in Minnesota (LP7044) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174359251
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALISSON LASS
Location Address4000 28TH AVE SMoorhead, MN 56560-7926
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 632-9419
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2024
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1174359251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MN · LP7044 Licensed in ND · 641P
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4000 28TH AVE S, Moorhead, MN 56560

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisson Lass is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597291294
PECOS Enrollment IDI20241204003937, I20241205002297
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner (Psychiatric/Mental Health)
4000 28TH AVE S
MOORHEAD, MN 56560
Family Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Counselor
4000 28TH AVE S
MOORHEAD, MN 56560
Pediatrics
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560
Internal Medicine
4000 28TH AVE S
MOORHEAD, MN 56560
Nurse Practitioner
4000 28TH AVE S
MOORHEAD, MN 56560

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 Alisson Lass's NPI number?

The NPI number for Alisson Lass is 1174359251. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Alisson Lass located?

Alisson Lass practices at 4000 28th Ave S, Moorhead, MN 56560. The listed phone number is (701) 234-3200.

What is Alisson Lass's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alisson Lass enrolled in Medicare?

Yes. Alisson Lass is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alisson Lass accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan and Security Health Plan list Alisson Lass 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.

Is Alisson Lass affiliated with any hospitals?

According to CMS data, Alisson Lass is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Alisson Lass was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.