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

Shane Moe, LMFT

Individual provider Marriage & Family Therapist · NPI 1558774620

Shane Moe, LMFT is a Marriage and Family Therapist in Lakeville, Minnesota. Qualified in 2011, 15 years ago. Practices with Life Development Resources PA, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2014
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7580 160th St W
Lakeville, MN 55044-8348
Phone: (952) 898-1133
Fax: (952) 435-6797
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 2517 (MN)

Record details

NPI number1558774620
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESFebruary 7, 2024
Certification dateJanuary 20, 2024
Mailing address7580 160th St W, Lakeville, MN 55044

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Life Development Resources Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeville