Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisson Lass

Individual provider Psychologist · NPI 1174359251

Alisson Lass is a Clinical Psychologist in Moorhead, Minnesota. Qualified in 2022, 4 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
4
Licensed in
MN, ND
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4000 28th Ave S
Moorhead, MN 56560-7926
Phone: (701) 234-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP7044 (MN)
Psychologist Taxonomy 103T00000X · Licence 641P (ND)

Record details

NPI number1174359251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Moorhead