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

Individual provider Mental Health Counselor · NPI 1669209136

Mosicrown Thao, MA, LPCC is a Mental Health Counselor in Woodbury, Minnesota. Qualified in 2016, 10 years ago. Practices with Akv Psychological and Consulting Services LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2165 Woodlane Dr Ste 100
Woodbury, MN 55125-3055
Phone: (651) 283-3794
Fax: (651) 738-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC04576 (MN)

Record details

NPI number1669209136
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Akv Psychological And Consulting Services Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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