Active NPI
Lori Peiffer, L.P.
- Clinical Psychologist
- Woodbury, MN
National Provider Identifier
1962574376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4146
- 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
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 | 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lori Peiffer, PHD, LP, LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Woodbury, MN
- NPI 1073915435
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.