MARA D PEASE PSYD, LP
NPI 1548610561
Psychologist in St Paul, MN

Active since June 21, 2016PECOS Enrolled
1600 UNIVERSITY AVE W, SUITE 12, ST PAUL, MN 55104(651) 379-5157(651) 379-5159 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2018, Feb 27, 2018, Feb 20, 2018 and 1 more (4 updates tracked since 2016).

About Mara D Pease Psyd, Lp NPPES

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

MARA D PEASE PSYD, LP (NPI 1548610561) is an individual psychologist in St Paul, Minnesota, licensed in Minnesota (LP6204) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in White Bear Lake.

NPPES Registry Identity

NPI1548610561
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARA D PEASECredential: PSYD, LP
Location Address1600 UNIVERSITY AVE W, SUITE 12St Paul, MN 55104
Mailing Address1600 University Ave W, Suite 12St Paul, MN 55104-3898 · (651) 379-5157 · Fax (651) 379-5159
Fax(651) 379-5159
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 30, 20184 updates tracked since enumeration
NPI 1548610561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6204
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.
1600 UNIVERSITY AVE W, St Paul, MN 55104

Other Names 1

Former Name (1)Mara D Locketz Psyd, Lp

Secondary Practice Location 1

Location 11310 Highway 96 E, Suite 200White Bear Lake, MN 55110-3619 · Phone (651) 379-5157 · Fax (651) 379-5159

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 (PECOS)

Mara D Pease Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Podiatrist (Foot & Ankle Surgery)
1600 UNIVERSITY AVE W, SUITE 19-C
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Counselor (Professional)
1600 UNIVERSITY AVE W, STE 12
SAINT PAUL, MN 55104
Physical Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Counselor (Mental Health)
1600 UNIVERSITY AVE W, SUITE 205
SAINT PAUL, MN 55104
Occupational Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Occupational Therapy Assistant
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104
Physical Therapist
1600 UNIVERSITY AVE W, SUITE 10
SAINT PAUL, MN 55104

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 Mara Pease's NPI number?

The NPI number for Mara Pease is 1548610561. It was assigned to this individual provider in the NPPES registry on June 21, 2016. The provider is also known as Mara D Locketz Psyd, LP.

Where is Mara Pease located?

Mara Pease practices at 1600 University Ave W Suite 12, St Paul, MN 55104. The listed phone number is (651) 379-5157.

What is Mara Pease's specialty?

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

Is Mara Pease enrolled in Medicare?

Yes. Mara Pease is registered in the Medicare PECOS enrollment system.

What insurance does Mara Pease accept?

Health plans from HealthPartners list Mara Pease 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 Mara Pease was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.