Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992768451 Individual Practitioner Female Practitioner

Mary Elizabeth Conner , MA LP

Psychologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Mary Conner, MA LP is a registered healthcare professional specializing in Psychologist in Coon Rapids, MN. Practice services are available at 1930 COON RAPIDS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1930 Coon Rapids Blvd
Family Life Mental Health Center

Coon Rapids, MN 55433

Telephone 7634277964
Fax 7634277976
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Coon Rapids, MN (1833 Statewide)

Telehealth Adoption Rate
19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP3985

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
813225900 (MN)
Commercial Insurance / Payer ID Health Partners
HP27005
Commercial Insurance / Payer ID Bcbs
286M4C0 (MN)
Commercial Insurance / Payer ID Bcbs
84G92CO (MN)
Commercial Insurance / Payer ID Ucare
123202
Commercial Insurance / Payer ID Ubh
6250882 (MN)
Commercial Insurance / Payer ID Ubh
270052697
Commercial Insurance / Payer ID Preferred One
1024500 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Rand Adams , LP

Psychologist

NPI 1023361292

Licensed Psychologist

NPI 1063475408

PSYDLP

David Mathews , LICSW

Social Worker - Clinical

NPI 1093815136

Licensed Independent Clinical Social Worker

Jennifer Chasco , LICSW

Social Worker - Clinical

NPI 1194271361

Licensed Independent Clinical Social Worker

Marlene Beecroft , MSSW, LICSW

Social Worker - Clinical

NPI 1194867432

MSSW, Licensed Independent Clinical Social Worker

Constance Vandergon , MS, LP

Psychologist - Counseling

NPI 1265522213

Master of Science, Licensed Psychologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2008

Registered at 1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433 (Tel: 7634277964)

📍
Updated Business Mailing Address December 10, 2008

Registered at 1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433 (Tel: 7634277964)

👤
Provider Name / Credentials Updated December 10, 2008

Recorded as MARY CONNER, MA LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2008

Psychologist (License #LP3985 in MN)

🟢
Initial NPI Registration & Enumeration April 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992768451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2006
Last Update: December 10, 2008
Sole Proprietor: No

Mailing Address

1930 Coon Rapids Blvd, Family Life Mental Health Center

Coon Rapids, MN 55433

Phone: 7634277964

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.