Life Skills Institute & Clinic, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0148 Issued in MN

Legal business name

LIFE SKILLS INSTITUTE & CLINIC, INC.

Practice address

3937 Orchid LN N
Plymouth, MN 55446-3281

Phone

(763) 476-1031

Fax

(763) 476-0181

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Margaret Green, EDD, LP

Title

Licenseed Psychologist

Phone

(763) 476-1031

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528145281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 ORCHID LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463281",
            "telephone_number": "763-476-1031",
            "fax_number": "763-476-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 ORCHID LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463281",
            "telephone_number": "763-476-1031",
            "fax_number": "763-476-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS INSTITUTE & CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "LICENSEED PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-476-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05915GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PROV ID",
            "identifier": "41147",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER ID",
            "identifier": "6181110",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keena Yue Leung, MD
• Cecelyn Lewis
• Leah Marie Lewis, LICSW
• Amy Jo Lien
• Life Force-Cervella, Inc
• Lifeforce Therapies
• Lifetime Wellness Center, P.a.
• Elissa Light, MS SLP CCC
• Lighthouse Chiropractic, PA
• Christine Ann Lilienthal

• Clinical Psychologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.