Active NPI
Theresa Marie Voss, M.A., L.P.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1093936379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP1178
- Practice address
- 821 Raymond Ave Ste 100
Saint Paul, MN 55114-1525 - Phone
- (651) 251-0369
- Fax
- (651) 251-3072
- NPI assigned
- May 2, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP1178 | MN | Primary |
Addresses
Primary practice location
821 Raymond Ave Ste 100
Saint Paul, MN 55114-1525
Mailing address
5415 Columbus Ave
Minneapolis, MN 55417-2432
Phone (612) 823-1203
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6263293 | Other | MN | MEDICA |
| 104441 | Other | MN | PREFERRED ONE |
| 104441 | Other | MN | UCARE |
| 3H758VO AND 3H757VO | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1178 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyn-Lake Psychotherapy and Wellness LTD. | Current | Accepting new patients | |
| Susan Eckfeldt | Past | Accepting new patients |
Locations
2900 Thomas Ave S
Ste 100
Minneapolis, MN 55416
621 W Lake St
Ste 350
Minneapolis, MN 55408
Phone (612) 547-9990
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1609355163
-
- Psychologist
- Saint Paul, MN
- NPI 1942331889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093936379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 COLUMBUS AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172432",
"telephone_number": "612-823-1203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141525",
"telephone_number": "651-251-0369",
"fax_number": "651-251-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "THERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.A., L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP1178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6263293",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "104441",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "104441",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3H758VO AND 3H757VO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.