Luma Therapy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LUMA THERAPY LLC

Doing business as

Luma Therapy LLC

Practice address

20731 Holyoke Ave Ste 232
Lakeville, MN 55044-9825

Phone

(651) 294-6850

NPI assigned

Jun 12, 2025

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ayaan Ahmed Ali

Title

Authorized Agent

Phone

(651) 294-6850

Specialties & licenses 1

Addresses

Other names 1

• Luma Therapy LLC Doing business as

Locations

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1689569154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20731 HOLYOKE AVE STE 232",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20731 HOLYOKE AVE STE 232",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "651-294-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AYAAN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "651-294-6850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luma Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ambriel Marie Lopez, LMFT
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• Robert Clarence Lubovich, D.C.
• Matthew Carl Lund, PA-C
• Thirath Mark Luong, PA-C
• Nathan Luttenegger
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• Elaine J Lyman, MA, LPC

• Adolescent and Children Mental Health Clinic/Center in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.