Individual provider Active NPI

Alexandra Lloyd Conroy, PHD, MPS, LADC

  • Clinical Psychologist
  • Minnetonka, MN
National Provider Identifier
1790386456
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6685 Issued in MN
Practice address
13911 Ridgedale Dr Ste 340
Minnetonka, MN 55305-1775
Phone
(651) 494-4496
NPI assigned
Nov 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305698 MN
Clinical Psychologist 103TC0700X LP6685 MN Primary

Addresses

Primary practice location

13911 Ridgedale Dr Ste 340
Minnetonka, MN 55305-1775

Mailing address

13911 Ridgedale Dr Ste 340
Minnetonka, MN 55305-1775
Phone (651) 494-4496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
305698MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Air PLLC Current Accepting new patients
Sociability, PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

13911 Ridgedale Dr
Ste 340
Minnetonka, MN 55305
Phone (651) 494-4496

801 Twelve Oaks Center Dr
Ste 816A
Wayzata, MN 55391
Phone (507) 951-9688

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": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1790386456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 340",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051775",
            "telephone_number": "651-494-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 340",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051775",
            "telephone_number": "651-494-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "ALEXANDRA",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "PHD, MPS, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305698",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.