Active NPI
Jessica Lind-Lamoureux, MA, LMFT
- Psychologist
- Golden Valley, MN
National Provider Identifier
1386367175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4069
- Practice address
- 8085 Wayzata Blvd Ste 203
Golden Valley, MN 55426-1461 - Phone
- (612) 296-3800
- NPI assigned
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4069 | MN | Primary |
Addresses
Primary practice location
8085 Wayzata Blvd Ste 203
Golden Valley, MN 55426-1461
Mailing address
8085 Wayzata Blvd Ste 203
Golden Valley, MN 55426-1461
Phone (612) 296-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy & Healing Associates | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- St Louis Park, MN
- NPI 1801028972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1386367175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 WAYZATA BLVD STE 203",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261461",
"telephone_number": "612-296-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 WAYZATA BLVD STE 203",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261461",
"telephone_number": "612-296-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND-LAMOUREUX",
"first_name": "JESSICA",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "4069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.