Mary Phillips, M.A., L.P.
Clinical Psychologist · Elk River, MN
Mary Phillips, M.A., L.P. is a clinical psychologist with a practice address in Elk River, Minnesota, and NPI 1972677979, issued on Nov 20, 2006. Check the license (Minnesota LP 4021, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Phillips
- Credential
- M.A., L.P.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- LP 4021 MN
Self-reported in NPPES; status is on the state search - Practice location
- 633 Main St NW Apt 220, Elk River, MN 55330
- Phone
- (612) 422-0890
- Enumerated
- Nov 20, 2006
- Record last updated
- Feb 12, 2022
- Medicare enrollment
- Enrolled (PECOS I20240624001803); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,538 in Minnesota → Look up another NPI →
Verify Mary Phillips in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP 4021Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Glasswing Counseling And Wellness LLCPrinceton, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Phillips among 1,538 clinical psychologist records in Minnesota
Mary Phillips, M.A., L.P. is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 63% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Graduated1993 · median 2008 among the 510 with a school on file
- Record last updated2022 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 clinical psychologist records list a practice address in Elk River
They are 4 of the 564 NPPES records with a practice address in Elk River, and 1,538 clinical psychologist records in Minnesota.
All 1,538 in Minnesota → Every provider in Elk River → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Rebecca Fischer, PSY.D, LPElk River, MN 553301326371246
- Carrie Lebarron, MS, PHDOtsego, MN 553301457703670
- Jamie MersolaOtsego, MN 553301669118360
- Stacey Nelson, PSY.DElk River, MN 553301760790828
- Kate Theisz, PSY.D.Elk River, MN 553301861567513
- Jennifer Weigelt, LPOtsego, MN 553301053690297
- Lynn Nodland, PH.D., LMFTExcelsior, MN 553311730194184
- Jane Kokesh, M.A.Glencoe, MN 553361982751947
Common questions
What is Mary Phillips, M.A., L.P.'s NPI number?
Mary Phillips, M.A., L.P.'s National Provider Identifier (NPI) is 1972677979, issued on Nov 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Phillips, M.A., L.P. located?
The NPPES record lists a practice address at 633 Main St NW Apt 220, Elk River, MN, 55330. Phone: (612) 422-0890. Providers update this record themselves, so call before visiting.
How can I verify Mary Phillips, M.A., L.P.'s license?
NPPES lists Minnesota license number LP 4021, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.