1. Home
  2. Directory
  3. Minnesota
  4. Lakeville
  5. Community Behavioral Health
  6. NPI Profile

LIFE DEVELOPMENT RESOURCES, PA
NPI 1902953169
Community/Behavioral Health in Lakeville, MN

Active since January 03, 2007
7580 160TH ST W, LAKEVILLE, MN 55044(952) 898-1133(952) 435-6797 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2018, Jan 8, 2018 (2 updates tracked since 2018).

About Life Development Resources, Pa NPPES

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

LIFE DEVELOPMENT RESOURCES, PA (NPI 1902953169) is a healthcare organization registered as a community/behavioral health in Lakeville, Minnesota and active in the NPI registry since January 2007. The organization lists Kim Tracy Ross, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1902953169
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFE DEVELOPMENT RESOURCES, PA
Location Address7580 160TH ST WLakeville, MN 55044-8348
Mailing Address7580 160th St WLakeville, MN 55044-8348 · (952) 898-1133
Phone(952) 898-1133
Fax(952) 435-6797
Organization SubpartNo
Authorized OfficialKim Tracy RossProgram Manager · (952) 564-6337
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 18, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2025
✔ NPI 1902953169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
7580 160TH ST W, Lakeville, MN 55044
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Development Resources, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

38

Medicare enrollment records show 38 clinicians reassign Medicare billing to Life Development Resources, PA, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Marriage and Family Therapist16
Clinical Social Worker9
Mental Health Counselor9
Clinical Psychologist2
Nurse Practitioner2

Nearest to this location (20)

See all 38
Connie Backstrom, LMFT
Marriage and Family Therapist
NPI 1548094147
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Haylee Baier
Clinical Social Worker
NPI 1992458731
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1270
✔ PECOSSame address
Erin Bird, LMFT
Marriage and Family Therapist
NPI 1053067058
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1273
✔ PECOSSame address
Kali Buckley, LMFT
Marriage and Family Therapist
NPI 1437032158
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOSSame address
Roselyn Busscher, PSYD LP
Clinical Psychologist
NPI 1689768756
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Sherri Eide
Mental Health Counselor
NPI 1215891650
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Jill Ell, CNP PMHNP-BC
Nurse Practitioner
NPI 1669610671
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Michelle Frauenshuh, MA LMFT
Marriage and Family Therapist
NPI 1336231620
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Morgann Gould, MA, LPCC
Mental Health Counselor
NPI 1104503812
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Catherine Hanson, MA, LPCC
Mental Health Counselor
NPI 1013854686
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOSSame address
David Hemingway
Marriage and Family Therapist
NPI 1336272434
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Jocelyn Kehr Sparby, LADC, LPCC
Mental Health Counselor
NPI 1336768738
7580 160TH ST W
Lakeville, MN 55044
(612) 393-3330
✔ PECOS✔ Accepts MedicareSame address
Eugene Martens, M.S.E., LMFT
Marriage and Family Therapist
NPI 1548450042
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOSSame address
Shane Moe, LMFT
Marriage and Family Therapist
NPI 1558774620
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Lucas Moulder, MA, LPCC
Mental Health Counselor
NPI 1386150142
7580 160TH ST W
Lakeville, MN 55044
(952) 892-0897
✔ PECOSSame address
Alan Olson, LPC LAMFT
Marriage and Family Therapist
NPI 1083703987
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Amy Parker, MSW, LICSW
Clinical Social Worker
NPI 1104663046
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOSSame address
Kimberly Shepherd, LICSW, MSW
Clinical Social Worker
NPI 1346871944
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
Jennifer Tessness
Mental Health Counselor
NPI 1013539881
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOSSame address
Linda Tunell, MA
Clinical Social Worker
NPI 1003959347
7580 160TH ST W
Lakeville, MN 55044
(952) 898-1133
✔ PECOS✔ Accepts MedicareSame address
See all 38 clinicians

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

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 Life Development Resources, PA's NPI number?

The NPI number for Life Development Resources, PA is 1902953169. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Life Development Resources, PA located?

Life Development Resources, PA is located at 7580 160th St W, Lakeville, MN 55044. The listed phone number is (952) 898-1133.

What is Life Development Resources, PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Life Development Resources, PA enrolled in Medicare?

Yes. Life Development Resources, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Development Resources, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 5 Medicare specialties reassign their Medicare billing to Life Development Resources, PA. A 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 the clinician's services. The largest specialties are Marriage and Family Therapist (16), Clinical Social Worker (9) and Mental Health Counselor (9). Of these, 24 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Development Resources, PA accept?

Health plans from HealthPartners list Life Development Resources, PA 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 Life Development Resources, PA was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.