Active NPI
Faith Lorraine Liedholm Matsch Hicks, NP
- Psychiatric/Mental Health Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10310
- Practice address
- 2270 Ford Pkwy Ste 106
Saint Paul, MN 55116-3412 - Phone
- (612) 915-0049
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10310 | MN | Primary |
Addresses
Primary practice location
2270 Ford Pkwy Ste 106
Saint Paul, MN 55116-3412
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
701 Dellwood St S
Cambridge, MN 55008-1923
Phone (763) 689-7700
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2270 Ford Pkwy
Suite 106
Saint Paul, MN 55116-3412
Phone (651) 748-5019
701 Dellwood St S
Cambridge, MN 55008-1920
Phone (621) 775-6200
Hospital & facility affiliations
- Cambridge Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10310 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Family Innovations, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| West Central Counseling LLC | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2270 Ford Pkwy
Ste 106
Saint Paul, MN 55116
Phone (651) 724-9411
2270 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 696-5000
Interoperability endpoints
- lifestancehealth.faithliedholmmatschhicks@149810.advancedmd-direct.com
- fliedholmmatsch319212@excellian.direct.allina.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
- Obstetrics & Gynecology Physician
- Cambridge, MN
- NPI 1720384175
-
- Mental Health Counselor
- Alexandria, MN
- NPI 1649846650
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Cambridge, MN
- NPI 1013194729
-
- Psychiatric Hospital Unit
- Cambridge, MN
- NPI 1104881911
-
- General Acute Care Hospital
- Cambridge, MN
- NPI 1568427383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1346934973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 FORD PKWY STE 106",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163412",
"telephone_number": "612-915-0049"
}
],
"practiceLocations": [
{
"address_1": "701 Dellwood St S",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MN",
"postal_code": "550081923",
"country_code": "US",
"telephone_number": "763-689-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEDHOLM MATSCH HICKS",
"first_name": "FAITH",
"middle_name": "LORRAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "10310",
"primary": true
}
],
"identifiers": [],
"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 Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.