Life Essentials Psychology LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE ESSENTIALS PSYCHOLOGY LLC

Practice address

13750 Crosstown Dr NW Ste 10
Andover, MN 55304-5853

Phone

(763) 317-8255

Fax

(855) 913-2522

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Thao-Ha Phan, MA, LMFT, LADCNPI 1477919025

Title

Member

Phone

(763) 317-8255

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thao-Ha Phan, MA, LMFT, LADC

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1477919025
  Medicare reassignment Care Compare group NPD Authorized official
• Kurt Sayers, MA, LPCC

  • Mental Health Counselor
  • Andover, MN
  • NPI 1649623083
  Medicare reassignment Care Compare group NPD
• Kimberley Wobschall, MA, LMFT

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1003232638
  Medicare reassignment Care Compare group NPD
• Lorene Torres

  • Addiction (Substance Use Disorder) Counselor
  • Andover, MN
  • NPI 1366337008
  NPD
• Olivia McKay Wolff-Herda, MA

  • Mental Health Counselor
  • Andover, MN
  • NPI 1023897105
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1124572235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 10",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045853",
            "telephone_number": "763-317-8255",
            "fax_number": "855-913-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 10",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045853",
            "telephone_number": "763-317-8255",
            "fax_number": "855-913-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ESSENTIALS PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THAO-HA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "763-317-8255",
        "authorized_official_credential": "MA, LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124572235",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynn Lefevere, LICSW
• Karrie Lynn Lehn, DC
• Sydney Lenz, CF-SLP
• Bryana Diane Leverentz, OTD
• Corinne G Libby, MA, LMFT
• Lifequest
• Christian Harold Lindbloom
• Marianne Shuchin Liu, MD
• Tetiana Lobzun
• Melissa Sue Lonsky, CCC-SLP, OM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Andover, MN
• Providers in Andover, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.

Verify at the official NPI Registry.