HEATHER LYNN SVOBODA MA LP
NPI 1629214747
Psychologist in Minneapolis, MN

Active since December 18, 2008PECOS Enrolled
310 CLIFTON AVE, MINNEAPOLIS, MN 55403(612) 223-8898(612) 338-8899 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heather Lynn Svoboda Ma Lp NPPES

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

HEATHER LYNN SVOBODA MA LP (NPI 1629214747) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP5110) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629214747
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameHEATHER LYNN SVOBODACredential: MA LP
Location Address310 CLIFTON AVEMinneapolis, MN 55403-3218
Mailing Address7601 Wayzata BlvdSt Louis Park, MN 55426-1623 · (763) 521-3477 · Fax (763) 521-3893
Fax(612) 338-8899
Sole ProprietorNo
Enumeration DateDecember 18, 2008
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1629214747 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 · LP5110
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.
310 CLIFTON AVE, Minneapolis, MN 55403

Other Names 1

Professional Name (2)Heather Svoboda Ma Lp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Lynn Svoboda Ma 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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Svoboda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
1900 HENNEPIN AVE STE 205
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment

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 20

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

Counselor (Professional)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Social Worker (Clinical)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Social Worker (Clinical)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Counselor (Mental Health)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Counselor (Professional)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Social Worker
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Counselor (Mental Health)
310 CLIFTON AVE
MINNEAPOLIS, MN 55403
Marriage & Family Therapist
310 CLIFTON AVE
MINNEAPOLIS, MN 55403

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 Heather Svoboda's NPI number?

The NPI number for Heather Svoboda is 1629214747. It was assigned to this individual provider in the NPPES registry on December 18, 2008. The provider is also known as Heather Svoboda Ma LP.

Where is Heather Svoboda located?

Heather Svoboda practices at 310 Clifton Ave, Minneapolis, MN 55403. The listed phone number is (612) 223-8898.

What is Heather Svoboda's specialty?

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

Is Heather Svoboda enrolled in Medicare?

Yes. Heather Svoboda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Svoboda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Svoboda reassigns Medicare benefits to Heather Svoboda Ma LP (Minneapolis, MN). The 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 Heather Svoboda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Svoboda was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.