LIFESTANCE HEALTH
NPI 1992862783
Psychologist - Counseling in Anoka, MN

Active since January 02, 2007
1833 3RD AVE, ANOKA, MN 55303(763) 421-5535(763) 433-0226 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2022, Jan 14, 2022, Mar 15, 2021 and 1 more (4 updates tracked since 2019).

About Lifestance Health NPPES

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

LIFESTANCE HEALTH (NPI 1992862783) is a healthcare organization registered as a counseling in Anoka, Minnesota and active in the NPI registry since January 2007. The organization lists Ryan Pardo, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1992862783
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameFAMILY INNOVATIONS, INC.
Location Address1833 3RD AVEAnoka, MN 55303-2424
Mailing Address1833 3rd AveAnoka, MN 55303-2424 · (763) 421-5535 · Fax (763) 433-0226
Fax(763) 433-0226
Organization SubpartNo
Authorized OfficialRyan PardoChief Legal Officer · (206) 399-1493
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMarch 20, 20244 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1992862783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1833 3RD AVE, Anoka, MN 55303

Other Names 1

Doing Business AsLifestance Health

Other Identifiers 7

Other211588MN · Compsych Eap
Other086M6FAMN · Blue Cross Blue Shield
Other04033007MN · Metropolitan Health Plan
Other300P0FAMN · Blue Cross Blue Shield
Other48G90FAMN · Blue Cross Blue Shield
Other81312MN · Health Partners
Medicaid026665500MN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifestance Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

145

Medicare enrollment records show 145 clinicians reassign Medicare billing to Lifestance Health, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Mental Health Counselor42
Nurse Practitioner37
Marriage and Family Therapist24
Clinical Social Worker22
Clinical Psychologist16
Psychiatry4

Nearest to this location (20)

See all 145
Mental Health Counselor
NPI 1861864068
1833 3RD AVE
Anoka, MN 55303
(612) 924-3807
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1790145365
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1720708357
1833 3RD AVE
Anoka, MN 55303
(612) 216-3270
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1306511464
1833 3RD AVE
Anoka, MN 55303
(763) 234-1122
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1205085768
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOSSame address
Clinical Psychologist
NPI 1578080743
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1043727860
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1497901532
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1962199026
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOSSame address
Marriage and Family Therapist
NPI 1043900574
1833 3RD AVE
Anoka, MN 55303
(763) 344-4456
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1972950558
1833 3RD AVE
Anoka, MN 55303
(612) 915-0049
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508345398
1833 3RD AVE
Anoka, MN 55303
(612) 915-0049
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1952815300
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1437604501
1833 3RD AVE
Anoka, MN 55303
(763) 421-5535
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1548960883
1833 3RD AVE
Anoka, MN 55303
(612) 924-3807
✔ PECOSSame address
Clinical Social Worker
NPI 1336620137
12000 ELM CREEK BLVD N STE 250
Maple Grove, MN 55369
(952) 401-8300
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1124882519
1714 BUNKER LAKE BLVD NW STE 108
Andover, MN 55304
(763) 330-2839
✔ PECOS✔ Accepts Medicare4.1 mi
Mental Health Counselor
NPI 1619322450
1930 COON RAPIDS BLVD NW
Coon Rapids, MN 55433
(651) 774-0011
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1487438321
15791 LITHIUM ST NW
Ramsey, MN 55303
(612) 388-4568
✔ PECOS4.4 mi
Marriage and Family Therapist
NPI 1083248025
11292 86TH AVE N
Maple Grove, MN 55369
(763) 220-3244
✔ PECOS✔ Accepts Medicare6.2 mi
See all 145 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 Family Innovations, Inc.'s NPI number?

The NPI number for Family Innovations, Inc. is 1992862783. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider is doing business as Lifestance Health.

Where is Family Innovations, Inc. located?

Family Innovations, Inc. is located at 1833 3rd Ave, Anoka, MN 55303. The listed phone number is (763) 421-5535.

What is Family Innovations, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Family Innovations, Inc. enrolled in Medicare?

Yes. Family Innovations, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Innovations, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 145 clinicians in 6 Medicare specialties reassign their Medicare billing to Family Innovations, Inc.. 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 Mental Health Counselor (42), Nurse Practitioner (37) and Marriage and Family Therapist (24). Of these, 15 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Innovations, Inc. accept?

Health plans from HealthPartners and Sanford Health Plan list Family Innovations, Inc. 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 Family Innovations, Inc. was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.