Active NPI
Lisa Marie Ocasio
- Professional Counselor
- Cottage Grove, MN
National Provider Identifier
1063101889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5731
- Practice address
- 9764 77TH St S
Cottage Grove, MN 55016-5237 - Phone
- (651) 785-3349
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5731 | MN | Primary |
Addresses
Primary practice location
9764 77TH St S
Cottage Grove, MN 55016-5237
Mailing address
1833 3Rd Ave
Anoka, MN 55303-2424
Phone (612) 924-3807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1063101889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 3RD AVE",
"city": "ANOKA",
"state": "MN",
"postal_code": "553032424",
"telephone_number": "612-924-3807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9764 77TH ST S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550165237",
"telephone_number": "651-785-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCASIO",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "5731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.