DR. LAUREN KIM-BAE PH.D., L.P.
NPI 1215450077
Psychologist - Clinical in St Louis Park, MN

Q: What is Lauren Kim-bae's NPI number?

The NPI number for Lauren Kim-bae is 1215450077. It was assigned to this individual provider in the NPPES registry on July 24, 2017. The provider is also known as Dr. Lauren Bae Ph.D., L.P..

Q: What is Lauren Kim-bae's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Kim-bae was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since July 24, 2017PECOS Enrolled

3200 HIGHWAY 100 S, ST LOUIS PARK, MN 55416(052) 915-4251(952) 920-2068 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2019, Jul 24, 2017 (2 updates tracked since 2017).

On this page

About Dr. Lauren Kim-bae Ph.d., L.p. NPPES

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

DR. LAUREN KIM-BAE PH.D., L.P. (NPI 1215450077) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (LP4302) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215450077

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LAUREN KIM-BAECredential: PH.D., L.P.

Location Address3200 HIGHWAY 100 SSt Louis Park, MN 55416-2175

Mailing Address6425 Nicollet AveRichfield, MN 55423-1675 · (612) 798-8187

Phone(052) 915-4251

Fax(952) 920-2068

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJuly 24, 2017

Last NPPES UpdateApril 10, 20192 updates tracked since enumeration

✔ NPI 1215450077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP4302

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3200 HIGHWAY 100 S, St Louis Park, MN 55416

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Other Names 1

Professional Name (2)Dr. Lauren Bae Ph.d., L.p.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lauren Kim-bae Ph.d., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840533550

PECOS Enrollment IDI20251013002160

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.

Medicare Billing Reassignments

Medicare enrollment records show Lauren Kim-bae reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lindner Center Of Hope Professional Associates

605 mi

Psychologist

4075 OLD WESTERN ROW RD
Mason, OH 45040

Reassigned Medicare billing, Ohio enrollment
90 clinicians in this Medicare group

NPI 1124425020 (513) 536-4673

The Craig And Frances Lindner Center Of Hope

605 mi

Psychiatric Hospital

4075 OLD WESTERN ROW RD
Mason, OH 45040

Reassigned Medicare billing, Ohio enrollment
88 clinicians in this Medicare group

NPI 1023207750 (513) 536-4673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

GROVES ACADEMY

Psychologist (School)