Lisa Eileen Lovelace, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5379 Issued in MN

Practice address

3539 Douglas Dr N
Minneapolis, MN 55422-2415

Phone

(612) 642-1355

Fax

(612) 756-7059

NPI assigned

Apr 16, 2008

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 16, 2025 through May 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lherman178244@excellian.direct.allina.com

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

• Dr Lisa E-Therapy

  dba Synergy eTherapy

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1770120933
  Authorized official Same address or phone

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1104090646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 DOUGLAS DR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222415",
            "telephone_number": "612-642-1355",
            "fax_number": "612-756-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 DOUGLAS DR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222415",
            "telephone_number": "612-642-1355",
            "fax_number": "612-756-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "LISA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3561-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017260",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lherman178244@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "4300 Edgewood Dr NE",
            "city": "Saint Michael",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553764588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Marie Lovdokken, LPN
• Laureen A. Love, NNP-BC,RN,MSN
• Paige A Love, LICSW
• Lovehopeheal
• Leo J Lovejoy, CRNA
• Jennifer Loveland, FNP
• Nicole Jeanne Lovell, P.T.
• Kathryne L Loven, MD
• Noelle Olivia Elizabeth Lovesy
• Courtney Lovgren

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.