Individual provider Active NPI

Larry Todd Lewer, LP

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1912041419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3546 Issued in MN
Practice address
1919 University Ave W
#200
Saint Paul, MN 55104-3453
Phone
(651) 266-7900
Fax
(651) 266-7850
NPI assigned
Feb 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3546 MN Primary

Addresses

Primary practice location

1919 University Ave W
#200
Saint Paul, MN 55104-3453

Mailing address

12326 Zea St NW
Coon Rapids, MN 55433-1690
Phone (763) 323-3078

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000417 MN Practitioner - Clinical Psychologist 0547604001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP3456MNMDPsychologist
3546MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey County Mental Health Center Current Accepting new patients
Ramsey County Mental Health Center CurrentSince Jan 29, 2024 Accepting new patients

Locations

1919 University Ave W
Ste 20
Saint Paul, MN 55104

1919 University Ave W
Ste 200
Saint Paul, MN 55104
Phone (651) 266-7999

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: larry.lewer.p3@direct.ramseysocialservices.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912041419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12326 ZEA ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331690",
            "telephone_number": "763-323-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "#200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-266-7900",
            "fax_number": "651-266-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWER",
        "first_name": "LARRY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.