THAO-HA PHAN MA, LMFT, LADC
NPI 1477919025
Marriage & Family Therapist in Andover, MN

Active since January 12, 2016PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2026.

Record update history: Oct 10, 2025, Mar 19, 2025, Oct 27, 2023 and 6 more (9 updates tracked since 2016).

About Thao-ha Phan Ma, Lmft, Ladc NPPES

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

THAO-HA PHAN MA, LMFT, LADC (NPI 1477919025) is an individual marriage & family therapist in Andover, Minnesota, licensed in Minnesota (3210) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1477919025
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTHAO-HA PHANCredential: MA, LMFT, LADC
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
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 12, 2016
Last NPPES UpdateOctober 10, 20259 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1477919025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 3210
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303961 (MN)
13750 CROSSTOWN DR NW STE 10, Andover, MN 55304

Other Identifiers 1

Medicaid1477919025MN

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

Thao-ha Phan Ma, Lmft, Ladc 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 ID3971905076
PECOS Enrollment IDI20240430003089
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.

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
Clinic/Center (Mental Health (Including Community Mental Health Center))
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Counselor (Addiction (Substance Use Disorder))
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 Thao-ha Phan's NPI number?

The NPI number for Thao-ha Phan is 1477919025. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Thao-ha Phan located?

Thao-ha Phan practices at 13750 Crosstown Dr NW Ste 10, Andover, MN 55304. The listed phone number is (763) 317-8255.

What is Thao-ha Phan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Thao-ha Phan enrolled in Medicare?

Yes. Thao-ha Phan 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 Thao-ha Phan accept?

Health plans from HealthPartners and Providence Health Plan list Thao-ha Phan 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 Thao-ha Phan was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.