DR. MARYANNE ANNE LASSEGARD (NPI# 1982689592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982689592 |
| Entity Type | Individual |
| Full Name | DR. MARYANNE ANNE LASSEGARD |
| Credential | PH.D LP |
| Practice Address |
521 Tanglewood Dr Shoreview MN 55126-2016 |
| Mailing Address |
3340 Interlachen Dr Ne Ham Lake MN 55304-4507 |
| Practice Telephone | 6123064721 |
| Practice Fax Number | 7634346570 |
| Mailing Telephone | 7634346570 |
| Mailing Fax Number | 7634346570 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LP2187 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
LP2187 | MN | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP2187 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 031016600 | 05 | |
| MN | CIGNA | 57610 | 01 |
| FM | MEDICA | 6124240 | 01 |
| FM | BCBS | 08S11LU | 01 |
| MN | ARAZ | 854806 | 01 |
| Street Address |
521 TANGLEWOOD DR |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228776 | Woodcrest Counseling, Inc | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2005-07-08 |
| 1669039764 | Matthew Hall | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2019-05-23 |
| 1407306939 | Sagewood Counseling, LLC | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-10-07 |
| 1730539305 | Sheila Conlin Ma, Lp Lmft | Counselor | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-06-15 |
| 1972964534 | Lisa Lemay | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2016-03-10 |
| 1366687451 | Miriam Zachary | Marriage & Family Therapist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2008-12-03 |
| 1699811752 | Penny Giesbrecht, Psyd Lp Pa | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2007-01-29 |
| 1558454793 | Lawrence William Foley | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-10-02 |
| 1174616247 | Ann Louise Jones | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-10-02 |
| 1851499289 | Sheila Conlin | Counselor | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114326 | Jeanette Lorraine Guillaume Marshall | Psychologist | 470 Highway 96 W Ste 280, Shoreview, MN 55126-3217 | 2014-08-11 |
| 1134288962 | Sherry Berde | Psychologist | 3570 Lexington Ave N Ste 100, Shoreview, MN 55126-8058 | 2006-12-07 |
| 1396830758 | Penny Sue Giesbrecht | Psychologist | 521 Tanglewood Drive, Shoreview, MN 55126 | 2006-10-03 |
| 1417220104 | Treehouse Psychology, Pllc | Psychologist | 500 Highway 96 W, Suite 400, Shoreview, MN 55126-1944 | 2012-02-11 |
| 1801036272 | Vaughn R Jefferson Psyd Mdiv Lp LLC | Psychologist | 1030 West County Road E, Ste 260, Shoreview, MN 55126 | 2009-02-25 |
| 1780715417 | Celeste Rose Yanisch | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2007-03-07 |
| 1699811752 | Penny Giesbrecht, Psyd Lp Pa | Psychologist | 521 Tanglewood Dr, Shoreview, MN 55126-2016 | 2007-01-29 |
| 1497812283 | Elaine Moore | Psychologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-01-02 |
| 1285791921 | Murray Reed | Psychologist | 3490 Lexington Ave N, Shoreview, MN 55126-8074 | 2007-01-02 |
| 1811059959 | Nancy Gail Ludwig | Psychologist | 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126-8049 | 2006-12-14 |
| Find all providers in SHOREVIEW | ||||
Please comment or provide details below to improve the information on DR. MARYANNE ANNE LASSEGARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.