Lisa Elizabeth Nos-Tollefson, PSYD LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1208 Issued in MN

Practice address

1100 Holstein Dr NE
Pine City, MN 55063-1464

Phone

(320) 322-5122

Fax

(844) 990-4122

NPI assigned

Apr 15, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rise Up Psychological Services LLC

  • Professional Counselor
  • Pine City, MN
  • NPI 1588254163
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1063866010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HOLSTEIN DR NE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631464",
            "telephone_number": "320-322-5122",
            "fax_number": "844-990-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HOLSTEIN DR NE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631464",
            "telephone_number": "320-322-5122",
            "fax_number": "844-990-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOS-TOLLEFSON",
        "first_name": "LISA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Martin Morawski
• Whitney Rene Moulton, DPT
• Msocs-Pine City
• Nilsson Chiropractic
• Joseph Norbert Nilsson, DC
• Nu Beginnings Psychological Services, PLLC (Nu Beginnings Psychological Services)
• Tamera Katherine O'Neill, MA, LPCC
• Oak Park Dental - Pine City LLC
• Oak Park Dental Clinic
• Bruce A Oleary, LMFT

• Professional Counselor in Pine City, MN
• Providers in Pine City, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.