Lysne Consulting & Counseling

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LYSNE CONSULTING & COUNSELING

Practice address

225 W Cavour Ave Ste C
Fergus Falls, MN 56537-2140

Phone

(218) 770-0592

Fax

(218) 998-3126

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mark Carl Lysne, PHDNPI 1366530008

Title

Psychologist

Phone

(218) 770-0592

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Carl Lysne, PHD

  • Clinical Psychologist
  • Fergus Falls, MN
  • NPI 1366530008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1104477819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W CAVOUR AVE STE C",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372140",
            "telephone_number": "218-770-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W CAVOUR AVE STE C",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372140",
            "telephone_number": "218-770-0592",
            "fax_number": "218-998-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSNE CONSULTING & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "LYSNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-770-0592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896425400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lutheran Brethren Retirement Services, Inc.
• Lutheran Brethren Woodland Lodge, Inc.
• Lutheran Social Service of Minnesota
• Jessica Jean Lyngaas, LPN
• Jodylee Katharine Lyons, LPN
• Christianne M Lysne, PHD
• Mark Carl Lysne, PHD
• Ala Lora Lysyk Smith, D.C.
• Ashlyn Marie Ma, PHARMD
• Jayme M Mace, D.M.D

• Clinical Psychologist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.