Individual provider Active NPI

Laura McDaniels, PSY.D., L.P.

  • Clinical Psychologist
  • Woodbury, MN
National Provider Identifier
1578540175
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3491 Issued in MN
Practice address
1789 Woodlane Dr
Suite C
Woodbury, MN 55125-3910
Phone
(651) 501-4957
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X LP3491 MN
Psychologist 103T00000X LP3491 MN
Clinical Psychologist 103TC0700X LP3491 MN Primary

Addresses

Primary practice location

1789 Woodlane Dr
Suite C
Woodbury, MN 55125-3910

Mailing address

8260 Enclave Rd
Woodbury, MN 55125-3038

Other identifiers 5

IdentifierTypeStateIssuer
277S6MDOtherMNBLUE CROSS BLUE SHIELD
61-78127OtherMNMEDICA AND UBH
103221OtherMNHEALTHPARTNERS
P00092642OtherMNRAILROAD MEDICARE
141783OtherMNUCARE AND BHP

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
I20050418001069 MN Practitioner - Clinical Psychologist 5193763472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP3491MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Neuropsychology Services, P.a. Clinical Neuropsychologist CurrentSince Mar 30, 2002 Accepting new patients
Counseling Psychologists of Woodbury, P.a. Psychologist Past Accepting new patients

Locations

8673 Eagle Point Blvd
Ste 203
Lake Elmo, MN 55042
Phone (612) 217-0650

8673 Eagle Point Blvd
#203
Lake Elmo, MN 55042
Phone (651) 501-4957

1789 Woodlane Dr
Ste C
Woodbury, MN 55125
Phone (651) 501-4957

7616 Currell Blvd
Ste 185
Woodbury, MN 55125
Phone (651) 501-4957

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578540175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 ENCLAVE RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 WOODLANE DR",
            "address_2": "SUITE C",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253910",
            "telephone_number": "651-501-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIELS",
        "first_name": "LAURA",
        "credential": "PSY.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP3491",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3491",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "277S6MD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA AND UBH",
            "identifier": "61-78127",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "103221",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00092642",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE AND BHP",
            "identifier": "141783",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.