NPIMap

Organization Active NPI

Lorenz Clinic, LLC

  • Marriage & Family Therapist
  • Victoria, MN
National Provider Identifier
1982900510
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1764 Issued in MN
Legal business name
LORENZ CLINIC, LLC
Practice address
1772 Steiger Lake LN
Suite 220
Victoria, MN 55386-7723
Phone
(952) 443-4600
Fax
(952) 443-4604
NPI assigned
Jan 29, 2011
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Chad T. Lorenz, PSY.D.NPI 1629213541
Title
Owner
Phone
(952) 443-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1764 MN Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LP5754 MN

Addresses

Primary practice location

1772 Steiger Lake LN
Suite 220
Victoria, MN 55386-7723

Mailing address

PO Box 51
1772 Stieger Lake Lane Suite 220
Victoria, MN 55386-0051
Phone (952) 443-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830000081 MN Part B Supplier - Clinic/Group Practice 7810282845 Receives reassigned benefits from 35 practitioners
Practice locations: Wayzata, MN; Victoria, MN; Lilydale, MN; Rosemount, MN; Minnetonka, MN; Prior Lake, MN; Burnsville, MN; Chaska, MN

National Provider Directory

National Provider Directory

Locations

12400 Portland Ave
Ste 195
Burnsville, MN 55337
Phone (612) 435-7390

1435 White Oak Dr
Ste 200
Chaska, MN 55318
Phone (651) 374-1470

991 Sibley Memorial Hwy
Ste 207
Lilydale, MN 55118

16180 Hastings Ave SE
Ste 205
Prior Lake, MN 55372
Phone (952) 463-4600

15265 Carrousel Way
Ste 100
Rosemount, MN 55068
Phone (951) 443-4600

2930 146th St W
Ste 114
Rosemount, MN 55068
Phone (402) 440-9241

1772 Stieger Lake Ln
Ste 220
Victoria, MN 55386
Phone (763) 443-4600

1120 Wayzata Blvd E
Ste 210
Wayzata, MN 55391
Phone (218) 929-0732

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 155

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 155

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1982900510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "address_2": "1772 STIEGER LAKE LANE SUITE 220",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860051",
            "telephone_number": "952-443-4600",
            "fax_number": "952-443-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 STEIGER LAKE LN",
            "address_2": "SUITE 220",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553867723",
            "telephone_number": "952-443-4600",
            "fax_number": "952-443-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZ CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-443-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1764",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "LP5754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.