INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC
INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1942221080, based in Maple Grove, MN. The organization lists 2 taxonomy classifications, with Addiction (Substance Use Disorder) Psychologist recorded as primary.
Getting there
The practice address on file is 7372 KIRKWOOD CT, Maple Grove, MN 55369. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LP4615 | MN | Addiction (Substance Use Disorder)… primary |
| LP4615 | MN | Counseling Psychologist |
This provider holds licence LP4615 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3678596285
- Enrollment ID
- O20060110000633
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Addiction (Substance Use Disorder) covers
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. NUCC Health Care Provider Taxonomy, code 103TA0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | LP4615 | MN | primary |
| 103TC1900X | Counseling Psychologist Counseling | LP4615 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1942221080 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 22, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
7372 KIRKWOOD CT Maple Grove, MN 55369 (763) 416-4167 Fax (763) 416-4137 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 4 | 2 | 2 | 2 | 1 | 0 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 8 | 2 | 4 | 2 | 2 | 0 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.