Active NPI
Lisa Jennet Trump, PH.D., LMFT
- Family Psychologist
- Minneapolis, MN
National Provider Identifier
1124541644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 3334
- Practice address
- 219 SE Main St Ste 400
Minneapolis, MN 55414-2151 - Phone
- 16128862524
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 3334 | MN | Primary |
Addresses
Primary practice location
219 SE Main St Ste 400
Minneapolis, MN 55414-2151
Mailing address
219 SE Main St Ste 400
Minneapolis, MN 55414-2151
Phone (612) 886-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1124541644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 SE MAIN ST STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142151",
"telephone_number": "16128862524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 SE MAIN ST STE 400",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554142151",
"telephone_number": "16128862524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMP",
"first_name": "LISA",
"middle_name": "JENNET",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MN",
"license": "3334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.