Lisa Joy Decathelineau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1094 Issued in MN

Practice address

1234 MN-7
Montevideo, MN 56265

Phone

(320) 269-4581

NPI assigned

Dec 6, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Marriage and Family Therapist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appleton Area HealthGroup PAC ID 7618952565, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Appleton Area Health

  • Rural Health Clinic/Center
  • Appleton, MN
  • NPI 1730126673
  Medicare reassignment Care Compare group NPD
• Appleton Area Health

  dba Appleton Area Health Services

  • Critical Access Hospital
  • Appleton, MN
  • NPI 1578590626
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1114086188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 230TH AVE NW",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081828",
            "telephone_number": "320-235-4613",
            "fax_number": "320-231-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MN-7",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "56265",
            "telephone_number": "320-269-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECATHELINEAU",
        "first_name": "LISA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "172691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1033823",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801929100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "374J68T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendon M Cullinan, M.D.
• Cheryl Curtiss
• Sheena Kay Dauer, DPT
• David Burrichter, DDS, PLLC (Main Street Dental Care)
• Theresa Day, CCC-SLP
• Kelly Dawn Degrote, BSN, RN, PED-BC, CDC
• Ashley Dirksen, DDS
• Lana Jane Dirksen, MD
• Discover Your Sisu Therapy Services, LLC
• Tracy Lynn Dove

• Marriage & Family Therapist in Montevideo, MN
• Providers in Montevideo, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.