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Alisson Lass

Psychologist β€’ Moorhead, MN

Active NPI 1174359251 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4000 28th Ave S
Moorhead, MN 565607926

Call 7012343200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4000 28th Ave S

Moorhead, MN 565607926

Telephone 7012343200
Organization at the Same NPPES Address or Phone
Sanford Medical Center Fargo Facility NPI 1124122783

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sanford Medical Center Fargo. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alisson Lass has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alisson Lass as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Moorhead and Minnesota

14 active clinicians are listed under Psychologist with a practice address in Moorhead, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Moorhead

28.6% of these 14 clinicians have the CMS telehealth indicator.

50% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-04
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN LP7044

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES ND 641P

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20241204003937

Enrollment State Jurisdiction

ND

PECOS Control ID

5597291294

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sanford Medical Center Fargo

4000 28th Ave S, Moorhead, MN 565607926

Phone: 7012343200

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

2301 25th St S, Fargo, ND 581036104

Phone: 7012347400

Sanford Medical Center Fargo

1412 Main St, Hawley, MN 56549

Phone: 2184833564

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Austin Anderson , DNP-FNP-C

Nurse Practitioner - Family

NPI 1992540595

DNPFNPC

Carley Bayer , APRN, CNP

Nurse Practitioner

NPI 1013534270

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Amy Bro , CNP

Nurse Practitioner

NPI 1114314093

Certified Nurse Practitioner

NPI 1043888746

Doctor of Medicine (M.D.)

Dustin Czapiewski , NP-C

Nurse Practitioner - Family

NPI 1447772470

Nurse Practitioner (Certified)

Dr. Lejla Gasevic , MD

Psychiatry & Neurology - Psychiatry

NPI 1801456140

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 04, 2024

Registered at 4000 28TH AVE S, MOORHEAD, MN 565607926 (Tel: 7012343200)

πŸ“
Updated Business Mailing Address November 04, 2024

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6056329419)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2024

Psychologist (license number reported to NPPES: ND 641P)

βœ…
NPI Profile Active September 13, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2024

Registered at 2607 25TH AVE S, FARGO, ND 581035005 (Tel: 5078290724)

πŸ“
Business Mailing Address (Initial Record) September 13, 2024

Registered at 2607 25TH AVE S, FARGO, ND 581035005 (Tel: 5078290724)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2024

Recorded as ALISSON LASS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2024

Psychologist (license number reported to NPPES: MN LP7044)

🟒
Initial NPI Registration & Enumeration September 13, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174359251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2024
Last Update: November 04, 2024
Sole Proprietor: No

Other Psychologists in Moorhead

Healthcare providers in Moorhead

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6056329419

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.