Lumen Psychological Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP 5297 Issued in MN

Legal business name

LUMEN PSYCHOLOGICAL SERVICES, LLC

Practice address

3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577

Phone

(612) 787-7050

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Britt Nicole Shackelford Wessel, PSYD, LPNPI 1871805614

Title

Member / Provider

Phone

(612) 787-7050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Britt Nicole Shackelford Wessel, PSYD, LP

  • Psychologist
  • Oakdale, MN
  • NPI 1871805614
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1457628877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 HIGHPOINT DR N STE 230",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287577",
            "telephone_number": "612-787-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 HIGHPOINT DR N STE 230",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287577",
            "telephone_number": "612-787-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMEN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "WESSEL",
        "authorized_official_first_name": "BRITT",
        "authorized_official_middle_name": "NICOLE SHACKELFORD",
        "authorized_official_title_or_position": "MEMBER / PROVIDER",
        "authorized_official_telephone_number": "612-787-7050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP 5297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Loomis, PHD, LP
• Emily Lowney
• Aden Loyan
• Safia Loyan
• Samuel R Luchsinger, BA
• Kristina Lund, PH.D., LP
• Andrew Dennis Lundgren, D.C.
• Lon Lutz, MD
• LW Counseling, LLC
• Sara Ann Mabie, OD

• Community/Behavioral Health Agency in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.