Active NPI
Katie Lyn Rickord, MA, LP, SEP
- Psychologist
- Golden Valley, MN
National Provider Identifier
1851458582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 5109
- Practice address
- 8441 Wayzata Blvd Ste 290
Golden Valley, MN 55426-1346 - Phone
- (612) 619-0086
- Fax
- (651) 344-0820
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP 5109 | MN | Primary |
Addresses
Primary practice location
8441 Wayzata Blvd Ste 290
Golden Valley, MN 55426-1346
Mailing address
8441 Wayzata Blvd Ste 290
Golden Valley, MN 55426-1346
Phone (612) 619-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP59141 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2024 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 5109 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resiliency and Health Institute, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Counseling Psychologist
- Woodbury, MN
- NPI 1265856801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1851458582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8441 WAYZATA BLVD STE 290",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261346",
"telephone_number": "612-619-0086",
"fax_number": "651-344-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8441 WAYZATA BLVD STE 290",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554261346",
"telephone_number": "612-619-0086",
"fax_number": "651-344-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKORD",
"first_name": "KATIE",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "MA, LP, SEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 5109",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP59141",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.