INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC
NPI 1942221080
Psychologist - Addiction (Substance Use Disorder) in Maple Grove, MN
About Innovative Psychological Consultants, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC (NPI 1942221080) is a healthcare organization registered as an addiction (substance use disorder) in Maple Grove, Minnesota and active in the NPI registry since July 2006. The organization lists Christian Todd Anderson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Innovative Psychological Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Innovative Psychological Consultants, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Source: 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 Innovative Psychological Consultants, LLC's NPI number?
The NPI number for Innovative Psychological Consultants, LLC is 1942221080. It was assigned to this organization in the NPPES registry on July 22, 2006.
Where is Innovative Psychological Consultants, LLC located?
Innovative Psychological Consultants, LLC is located at 7372 Kirkwood Ct, Maple Grove, MN 55369. The listed phone number is (763) 416-4167.
What is Innovative Psychological Consultants, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.
Is Innovative Psychological Consultants, LLC enrolled in Medicare?
Yes. Innovative Psychological Consultants, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Psychological Consultants, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Innovative Psychological Consultants, LLC. 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 Clinical Psychologist (7), Clinical Social Worker (5) and Psychiatry (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Innovative Psychological Consultants, LLC accept?
Health plans from HealthPartners list Innovative Psychological Consultants, LLC 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 Innovative Psychological Consultants, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Innovative Psychological Consultants, Llc · NPI 1942221080
Addiction (Substance Use Disorder) organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1942221080 (Entity type: Organization)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Psychologist - Addiction (Substance Use Disorder) · taxonomy 103TA0400X
- **Organization subpart:** No
- **Authorized official:** Christian Anderson, CEO
## Practice location
- **Address:** 7372 KIRKWOOD CT, Maple Grove, MN 55369-5202
- **Phone:** (763) 416-4167 · **Fax:** (763) 416-4137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (7), Clinical Social Worker (5), Psychiatry (5); [full list](https://npiprofile.com/npi/1942221080/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942221080) · Data from the CMS NPPES public registry.