Organization Active NPI

Lorie Crandall LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1508691585
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LORIE CRANDALL LLC
Practice address
7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998
Phone
(612) 321-8405
NPI assigned
Sep 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Lorie Crandall, LMFTNPI 1124539671
Title
Owner, LMFT
Phone
(612) 321-8405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998

Mailing address

7701 Golden Valley Rd # 27066
Minneapolis, MN 55427-9998
Phone (612) 321-8405

Other identifiers 1

IdentifierTypeStateIssuer
1124539671MedicaidMN

National Provider Directory

National Provider Directory

Locations

7701 Golden Valley Rd
Unit 27066
Minneapolis, MN 55427
Phone (612) 321-8405

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1508691585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 GOLDEN VALLEY RD # 27066",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554279998",
            "telephone_number": "612-321-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 GOLDEN VALLEY RD # 27066",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554279998",
            "telephone_number": "612-321-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIE CRANDALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "612-321-8405",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124539671",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.