Individual provider Active NPI

Lilianne Marie Gloe, PHD, LP

  • Psychologist
  • Rochester, MN
National Provider Identifier
1386533222
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP7107 Issued in MN
Practice address
210 9TH St SE Ste 1
Rochester, MN 55904-6400
Phone
(507) 288-3443
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X LP7107 MN
Psychologist 103T00000X LP7107 MN Primary
Clinical Psychologist 103TC0700X LP7107 MN

Addresses

Primary practice location

210 9TH St SE Ste 1
Rochester, MN 55904-6400

Mailing address

6322 Fairway Dr NW
Rochester, MN 55901-5930
Phone (540) 588-0958

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
I20250903002411 MN Practitioner - Clinical Psychologist 0446752158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425

210 9TH St SE
Rochester, MN 55904-6756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP7107MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Olmsted Medical Center CurrentSince Sep 13, 2025 Accepting new patients
Olmsted Medical Center CurrentSince Sep 13, 2025 Accepting new patients

Locations

210 9th St SE
Ste 1
Rochester, MN 55904
Phone (507) 292-7144

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

Organizations & group practices 2

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": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1386533222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 FAIRWAY DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015930",
            "telephone_number": "540-588-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 9TH ST SE STE 1",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046400",
            "telephone_number": "507-288-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOE",
        "first_name": "LILIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP7107",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP7107",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP7107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.