Individual provider Active NPI

Susan Marie Hoisington, PSY.D.

  • Addiction (Substance Use Disorder) Psychologist
  • Forest Lake, MN
National Provider Identifier
1104974674
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
LP0881 Issued in MN
Practice address
1068 Lake St S Ste 109
Forest Lake, MN 55025-2633
Phone
(651) 982-4792
Fax
(651) 982-6035
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X LP0881 MN Primary

Addresses

Primary practice location

1068 Lake St S Ste 109
Forest Lake, MN 55025-2633

Mailing address

1068 Lake St S Ste 109
Forest Lake, MN 55025-2633
Phone (651) 982-4792

Other identifiers 1

IdentifierTypeStateIssuer
1104974674MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000438 MN Practitioner - Clinical Psychologist 2163555798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges and Pathways Counseling Services Inc.Group PAC ID 2264776269, 10 clinicians
Nuway Mental Health ClinicGroup PAC ID 4587108055, 8 clinicians

Practice addresses (Care Compare)

1068 Lake St S
Suite 109
Forest Lake, MN 55025-2633
Phone (612) 597-3133

2217 Nicollet Ave
Minneapolis, MN 55404-3382
Phone (612) 767-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges and Pathways Counseling Services Inc. CurrentSince Dec 1, 2025 Accepting new patients
Susan Hoisington Counseling LLC CurrentSince Jan 23, 2019 Accepting new patients
Nuway Mental Health Clinic CurrentSince Aug 16, 2024 Accepting new patients

Locations

1068 Lake St S
Ste 109
Forest Lake, MN 55025
Phone (612) 597-3133

2217 Nicollet Ave
Minneapolis, MN 55404
Phone (612) 767-0309

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1104974674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "651-982-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "651-982-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOISINGTON",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "LP0881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104974674",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

Verify at the official NPI Registry.