Active NPI
Lynn D Hardy, MA, LP
- Counseling Psychologist
- Elk River, MN
National Provider Identifier
1639162407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3938
- Practice address
- 11070 183Rd Cir NW
Elk River, MN 55330-2842 - Phone
- (763) 633-5111
- Fax
- (763) 633-5112
- NPI assigned
- Aug 26, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3938 | NU | Primary |
Addresses
Primary practice location
11070 183Rd Cir NW
Elk River, MN 55330-2842
Mailing address
11070 183Rd Cir NW
Elk River, MN 55330-2842
Phone (763) 633-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640721800 | Medicaid | MN |
Other names 1
- Lynn D Whiting Hardy
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3938 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardy & Stephens Counseling Associates PLLC | Current | Accepting new patients |
Locations
11070 183rd Cir NW
Elk River, MN 55330
Phone (763) 633-5111
11070 183rd Cir NW
Ste C
Elk River, MN 55330
Phone (763) 257-5301
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Center for Hope and Healing
- Mental Health Counselor
- Elk River, MN
- NPI 1871659623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639162407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11070 183RD CIR NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302842",
"telephone_number": "763-633-5111",
"fax_number": "763-633-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11070 183RD CIR NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302842",
"telephone_number": "763-633-5111",
"fax_number": "763-633-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "LYNN",
"middle_name": "D",
"credential": "MA, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": "3938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "640721800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "WHITING HARDY",
"middle_name": "D",
"credential": "MA LP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.