Active NPI
Lisa N Hoogheem, MA, LADC
- Addiction (Substance Use Disorder) Counselor
- Saint Paul, MN
National Provider Identifier
1134314982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 302133
- Practice address
- 219 Robie St E
Saint Paul, MN 55107-2325 - Phone
- (612) 275-6982
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302133 | MN | Primary |
Addresses
Primary practice location
219 Robie St E
Saint Paul, MN 55107-2325
Mailing address
219 Robie St E
Saint Paul, MN 55107-2325
Phone (612) 275-6982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302133 | Other | MN | STATE LICENSE NUMBER |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302133 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School Based Assessment Counseling & Consulting | Past | Accepting new patients | |
| Global Wellness, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1982850889
-
- Social Worker
- Saint Paul, MN
- NPI 1699966572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1134314982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 ROBIE ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072325",
"telephone_number": "612-275-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 ROBIE ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551072325",
"telephone_number": "612-275-6982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOGHEEM",
"first_name": "LISA",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "MA, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "302133",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.