LIFESTANCE HEALTH
NPI 1992862783
Psychologist - Counseling in Anoka, MN

NPI Status: Active since January 02, 2007

Contact Information

1833 3RD AVE
ANOKA, MN
ZIP 55303
Phone: (763) 421-5535
Fax: (763) 433-0226

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  • Organization
  • Psychologist
  • Counseling
  • Accepts Insurance

About LIFESTANCE HEALTH

This page provides the complete NPI Profile along with additional information for Lifestance Health, a provider established in Anoka, Minnesota operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1992862783 assigned on January 2007. The practitioner's primary taxonomy code is 103TC1900X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Lifestance Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lifestance Health. The authorized official of this NPI record is Ryan Pardo (Chief Legal Officer)

NPI
1992862783
Provider Legal Name
FAMILY INNOVATIONS, INC.
Other Organization Name
LIFESTANCE HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1833 3RD AVE ANOKA, MN 55303
Location Phone
(763) 421-5535
Location Fax
(763) 433-0226
Mailing Address
1833 3RD AVE ANOKA, MN 55303
Mailing Phone
(763) 421-5535
Mailing Fax
(763) 433-0226
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2007
Last Update Date
03-20-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
5251S00000XAgencies

Community/Behavioral Health

 
6363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN PARDO

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(206) 399-1493

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
211588OTHER (01)MNCOMPSYCH EAP
086M6FAOTHER (01)MNBLUE CROSS BLUE SHIELD
04033007OTHER (01)MNMETROPOLITAN HEALTH PLAN
300P0FAOTHER (01)MNBLUE CROSS BLUE SHIELD
48G90FAOTHER (01)MNBLUE CROSS BLUE SHIELD
81312OTHER (01)MNHEALTH PARTNERS
026665500MEDICAID (05)MN 

Reviews for LIFESTANCE HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992862783, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 6 + 6 + 4 + 7 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1992862783.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
1833 3RD AVE
ANOKA, MN 55303
Counselor (Professional)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Professional)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Marriage & Family Therapist
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Social Worker (Clinical)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992862783, enumerated as an "organization" on January 02, 2007.

The provider is located at 1833 3RD AVE ANOKA, MN 55303 and the phone number is (763) 421-5535.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.