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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: October 18, 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
Phone(763) 317-8255
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
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Other Identifiers 1

Medicaid1477919025MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Life Essentials Psychology LLC
Same address
Mental Health (Including Community Mental Health Center)
13750 CROSSTOWN DR NW STE 10
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1124572235 (763) 317-8255
Introspect Mental Health LLC
18 mi
Mental Health
4801 HIGHWAY 61 N STE 204
White Bear Lk, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1184273666 (763) 465-6700

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

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.

KIMBERLEY WOBSCHALL MA, LMFT
Marriage & Family Therapist
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Anoka County (763) 317-8255
OLIVIA MCKAY WOLFF-HERDA MA
Counselor (Mental Health)
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Anoka County (763) 317-8255
LIFE ESSENTIALS PSYCHOLOGY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Anoka County (763) 317-8255
LORENE TORRES
Counselor (Addiction (Substance Use Disorder))
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Anoka County (763) 230-9599
KURT SAYERS MA, LPCC
Counselor (Mental Health)
13750 CROSSTOWN DR NW STE 10
ANDOVER, MN 55304
Anoka County (763) 317-8255

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.

Which organizations bill Medicare for Thao-ha Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thao-ha Phan reassigns Medicare benefits to 2 organizations: Life Essentials Psychology LLC (Andover, MN) and Introspect Mental Health LLC (White Bear Lk, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thao-ha Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thao-ha Phan accept?

Health plans from HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.