Individual provider Active NPI

Allison A Lundahl, LP

  • Psychologist
  • Mankato, MN
National Provider Identifier
1205196284
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6421 Issued in MN
Practice address
1600 Warren St Ste 6
Mankato, MN 56001-7113
Phone
(507) 389-1443
Fax
(855) 360-3593
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP6421 MN Primary
Psychologist 103T00000X 05112 MD

Addresses

Primary practice location

1600 Warren St Ste 6
Mankato, MN 56001-7113

Mailing address

1600 Warren St Ste 6
Mankato, MN 56001-7113
Phone (507) 389-1443

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allison.lundahl@mnsu.edu Direct Minnesota State Colleges & Universities

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031002106 MN Practitioner - Clinical Psychologist 9436481033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
05112MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota State Colleges & Universities Current Accepting new patients
Minnesota State Colleges and Universities CurrentSince Aug 1, 2025 Accepting new patients
Minnesota State Colleges and Universities Psychologist CurrentSince Aug 1, 2025 Accepting new patients

Locations

150 South Rd
Mankato, MN 56001
Phone (507) 389-2147

1600 Warren St
Ste 6
Mankato, MN 56001
Phone (507) 389-1443

1104 7th Ave S
Moorhead, MN 56563
Phone (218) 477-2330

Organizations & group practices 3

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1205196284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WARREN ST STE 6",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017113",
            "telephone_number": "507-389-1443",
            "fax_number": "855-360-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WARREN ST STE 6",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017113",
            "telephone_number": "507-389-1443",
            "fax_number": "855-360-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDAHL",
        "first_name": "ALLISON",
        "middle_name": "A",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6421",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison.lundahl@mnsu.edu",
            "affiliation": "Y",
            "affiliationName": "Minnesota State Colleges & Universities",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1600 Warren St Ste 6",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560017113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.