Thao-Ha Phan, MA, LMFT, LADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3210 Issued in MN

Practice address

13750 Crosstown Dr NW Ste 10
Andover, MN 55304-5853

Phone

(763) 317-8255

Fax

(855) 913-2522

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Essentials Psychology LLCGroup PAC ID 0244632347, 3 clinicians

Introspect Mental Health LLCGroup PAC ID 9931502796, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Life Essentials Psychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Andover, MN
  • NPI 1124572235
  Medicare reassignment Care Compare group NPD Authorized official
• Introspect Mental Health LLC

  • Mental Health Counselor
  • White Bear LK, MN
  • NPI 1184273666
  Medicare reassignment Care Compare group NPD
• Anchor Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Buffalo, MN
  • NPI 1861165391
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1477919025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 10",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045853",
            "telephone_number": "763-317-8255",
            "fax_number": "855-913-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 10",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045853",
            "telephone_number": "763-317-8255",
            "fax_number": "855-913-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THAO-HA",
        "credential": "MA, LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3210",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477919025",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience in Home Care LLC
• Patience in-Home Care Pca Services LLC
• Kaylin Payette, OTD OTR/L
• Alison Lynn Perry, MA, LPCC
• Lynda Lee Peterson, MA-CCC/SLP
• Stephanie Lynn Piche, NP-C
• Jana Lynn Pierce, CNP
• Samantha Judith Pilon
• Sophia C Pimsler
• Susan Pleasants, M.D.

• Marriage & Family Therapist in Andover, MN
• Providers in Andover, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.