Individual provider Active NPI

Lois Cochrane Schlutter, PHD LP

  • Clinical Psychologist
  • St Louis Park, MN
National Provider Identifier
1396839684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP1900 Issued in MN
Practice address
6200 Excelsior Blvd
Ste 202
St Louis Park, MN 55416-2734
Phone
(952) 925-5344
Fax
(952) 925-4649
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP1900 MN Primary

Addresses

Primary practice location

6200 Excelsior Blvd
Ste 202
St Louis Park, MN 55416-2734

Mailing address

6200 Excelsior Blvd
Ste 202
St Louis Park, MN 55416-2734
Phone (952) 925-5344

Other identifiers 3

IdentifierTypeStateIssuer
100166OtherMNHEALTH PARTNERS
6180316OtherMNMEDICA
276K8SCOtherMNBCBS

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
I20040714001187 MN Practitioner - Clinical Psychologist 1658350681 Reassigns benefits to 1 organization

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396839684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 EXCELSIOR BLVD",
            "address_2": "STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162734",
            "telephone_number": "952-925-5344",
            "fax_number": "952-925-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 EXCELSIOR BLVD",
            "address_2": "STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162734",
            "telephone_number": "952-925-5344",
            "fax_number": "952-925-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUTTER",
        "first_name": "LOIS",
        "middle_name": "COCHRANE",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "100166",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6180316",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "276K8SC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.