Lux Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LUX PSYCHIATRY PLLC

Doing business as

Lux Psychiatry

Practice address

2355 Highway 36 W Ste 400
Roseville, MN 55113-3905

Phone

(612) 405-6555

NPI assigned

Apr 10, 2025

Organization subpart

No

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

Authorized official

Name

Olivia Grayson, PMHNP-BCNPI 1225746977

Title

Pmhnp

Phone

(612) 405-6555

Specialties & licenses 1

Addresses

Other names 1

• Lux Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Olivia Grayson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, MN
  • NPI 1225746977
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1720873896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "612-405-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "612-405-6555",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lux Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen T. Lundell, M.D.
• Cedar Rose Lundgren, LPC
• Hope Luparell, DDS
• Lee Robert Lutterman, DDS
• Sandi Lutz
• Luxottica of America Inc.
• Luxottica of America Inc.
• Mai Tia Ly, REGISTERED NURSE
• Senyi Ly, DC
• Laura Lyman, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Roseville, MN
• Providers in Roseville, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.