Active NPI
Larry J Suess, MA,LP,LMFT
- Clinical Psychologist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP2430
- Practice address
- 3249 Hennepin Ave Ste 144
Minneapolis, MN 55408 - Phone
- (612) 823-5101
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP2430 | MN | Primary |
Addresses
Primary practice location
3249 Hennepin Ave Ste 144
Minneapolis, MN 55408
Mailing address
5344 Fremont Ave S
Minneapolis, MN 55419-1115
Phone (612) 823-5101
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
7260 University Ave NE
Suite 235
Fridley, MN 55432-3141
Phone (763) 572-2612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Counseling Assessment and Mediation Centers PLLC | Current | Accepting new patients | |
| Uptown Counseling P a | Past | Accepting new patients |
Locations
3249 Hennepin Ave
Minneapolis, MN 55408
Phone (952) 400-7878
7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605
3249 Hennepin Ave
Ste 144
Minneapolis, MN 55408
Phone (612) 823-5101
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.
-
- Psychologist
- Fridley, MN
- NPI 1649613837
-
- Community/Behavioral Health Agency
- Minneapolis, MN
- NPI 1497053458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1831206069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5344 FREMONT AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191115",
"telephone_number": "612-823-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 HENNEPIN AVE STE 144",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55408",
"telephone_number": "612-823-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUESS",
"first_name": "LARRY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MA,LP,LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP2430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.