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LEE THAO LPCC, LADC
NPI 1972012391
Counselor - Mental Health in Roseville, MN

Active since September 28, 2017PECOS Enrolled
2345 RICE ST STE 145, ROSEVILLE, MN 55113(612) 314-3076(651) 251-4889 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Dec 9, 2023, Sep 16, 2022 and 2 more (5 updates tracked since 2018).

About Lee Thao Lpcc, Ladc NPPES

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

LEE THAO LPCC, LADC (NPI 1972012391) is an individual mental health provider in Roseville, Minnesota, licensed in Minnesota (3470) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972012391
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEE THAOCredential: LPCC, LADC
Location Address2345 RICE ST STE 145Roseville, MN 55113-3720
Mailing Address1377 County Road E WArden Hills, MN 55112-3654 · (612) 314-3076 · Fax (079) 313-1400
Phone(612) 314-3076
Fax(651) 251-4889
Sole ProprietorYes
Enumeration DateSeptember 28, 2017
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1972012391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MN · 3470✔ Licensed in IA · 127583✔ Licensed in WI · 11190-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305599 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3470 (MN)
2345 RICE ST STE 145, Roseville, MN 55113
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Other Identifiers 1

Medicaid1972012391MN

Accepted Insurance

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

Lee Thao Lpcc, Ladc 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 2

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

FIORAVANTI ENTERPRISES LLC
Home Health
2345 RICE ST STE 145
ROSEVILLE, MN 55113
Ramsey County (952) 392-1997
SUMMER VENTURES
Home Health
2345 RICE ST STE 145
ROSEVILLE, MN 55113
Ramsey County (952) 392-1999

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 Lee Thao's NPI number?

The NPI number for Lee Thao is 1972012391. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Lee Thao located?

Lee Thao practices at 2345 Rice St Ste 145, Roseville, MN 55113. The listed phone number is (612) 314-3076.

What is Lee Thao's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lee Thao enrolled in Medicare?

Yes. Lee Thao is registered in the Medicare PECOS enrollment system.

What insurance does Lee Thao accept?

Health plans from HealthPartners list Lee Thao 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 Lee Thao was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.