Individual provider Active NPI

Lorie Crandall, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1124539671
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2817 Issued in MN
Practice address
7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998
Phone
(612) 360-7032
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2817 MN Primary

Addresses

Primary practice location

7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998

Mailing address

7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998
Phone (612) 360-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2025 through Feb 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2817MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lorie Crandall LLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

7701 Golden Valley Rd
Unit 27066
Minneapolis, MN 55427
Phone (612) 321-8405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1124539671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 GOLDEN VALLEY RD # 27066",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554279998",
            "telephone_number": "612-360-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 GOLDEN VALLEY RD # 27066",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554279998",
            "telephone_number": "612-360-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "LORIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.