DR. MARYANNE ANNE LASSEGARD PH.D LP
NPI 1982689592
Psychologist - Clinical in Shoreview, MN

Q: What is Maryanne Lassegard's NPI number?

The NPI number for Maryanne Lassegard is 1982689592. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Maryanne Lassegard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment

521 TANGLEWOOD DR, SHOREVIEW, MN 55126(612) 306-4721(763) 434-6570 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Maryanne Anne Lassegard Ph.d Lp NPPES

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

DR. MARYANNE ANNE LASSEGARD PH.D LP (NPI 1982689592) is an individual clinical provider in Shoreview, Minnesota, licensed in Minnesota (LP2187) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1982689592

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARYANNE ANNE LASSEGARDCredential: PH.D LP

Location Address521 TANGLEWOOD DRShoreview, MN 55126-2016

Mailing Address3340 Interlachen Dr NeHam Lake, MN 55304-4507 · (763) 434-6570 · Fax (763) 434-6570

Phone(612) 306-4721

Fax(763) 434-6570

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateDecember 7, 2005

Last NPPES UpdateFebruary 10, 2017

✔ NPI 1982689592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP2187

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LP2187 (MN)

Also ListedPsychologistTaxonomy 103T00000X · License LP2187 (MN)

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License LP2187 (MN)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP2187 (MN)

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP2187 (MN)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LP2187 (MN)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License LP2187 (MN)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License LP2187 (MN)

521 TANGLEWOOD DR, Shoreview, MN 55126

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Other Identifiers 6

Other57610MN · Cigna

Medicaid031016600MN

Other6124240FM · Medica

Other08S11LUFM · Bcbs

Other854806MN · Araz

Medicare ID-Type Unspecified680001481MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maryanne Anne Lassegard Ph.d Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658319272

PECOS Enrollment IDI20111108000740

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

112 services13 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

65 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

ELAINE K JOHNSON MA LP LADC PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))