Individual provider Active NPI

Lori Peiffer, L.P.

  • Clinical Psychologist
  • Woodbury, MN
National Provider Identifier
1962574376
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4146 Issued in MN
Practice address
1800 Wooddale Dr Ste 204
Woodbury, MN 55125-1948
Phone
(612) 584-8704
Fax
(844) 252-4852
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP4146 MN Primary

Addresses

Primary practice location

1800 Wooddale Dr Ste 204
Woodbury, MN 55125-1948

Mailing address

1800 Wooddale Dr Ste 204
Woodbury, MN 55125-1948
Phone (612) 584-8704

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
I20120107000007 MN Practitioner - Clinical Psychologist 1951577287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 Wooddale Dr
Suite 204
Woodbury, MN 55125-1948
Phone (612) 584-8704

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Peiffer, PHD, LP, LLC Clinical CurrentSince Nov 15, 2014 Accepting new patients

Locations

245 Ruth St N
Ste 201
Saint Paul, MN 55119
Phone (612) 584-8704

1800 Wooddale Dr
Ste 204
Woodbury, MN 55125
Phone (612) 584-8704

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1962574376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WOODDALE DR STE 204",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251948",
            "telephone_number": "612-584-8704",
            "fax_number": "844-252-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WOODDALE DR STE 204",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251948",
            "telephone_number": "612-584-8704",
            "fax_number": "844-252-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "LORI",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.