Individual provider Active NPI

Debbra Ann Ford, LP

  • Counseling Psychologist
  • Edina, MN
National Provider Identifier
1447219399
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP 2846 Issued in MN
Practice address
5200 Willson Rd
Suite 309
Edina, MN 55424-1332
Phone
(952) 927-8528
Fax
(612) 929-2327
NPI assigned
Mar 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP 2846 MN Primary

Addresses

Primary practice location

5200 Willson Rd
Suite 309
Edina, MN 55424-1332

Mailing address

5200 Willson Rd
Suite 309
Edina, MN 55424-1332
Phone (952) 927-8528

Other identifiers 1

IdentifierTypeStateIssuer
19Q19FOOtherMNBC/BS INDIVIDUAL PROVIDER

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
I20050719000060 MN Practitioner - Clinical Psychologist 3779519491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4701 Chowen Ave S
Minneapolis, MN 55410-1732
Phone (612) 237-6580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447219399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 309",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-927-8528",
            "fax_number": "612-929-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 309",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-927-8528",
            "fax_number": "612-929-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DEBBRA",
        "middle_name": "ANN",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP 2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL PROVIDER",
            "identifier": "19Q19FO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.