Individual provider Active NPI

Lisa M Morgan, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1245844661
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02288 Issued in MN
Practice address
1919 University Ave W Ste 6
Saint Paul, MN 55104-3435
Phone
(651) 651-1555
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02288 MN Primary

Addresses

Primary practice location

1919 University Ave W Ste 6
Saint Paul, MN 55104-3435

Mailing address

746 Holly Ave
Saint Paul, MN 55104-7134
Phone (612) 244-7831

Other practice location 1

746 Holly Ave
Saint Paul, MN 55104-7134
Phone (612) 244-7831

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
I20240620000423 MN Practitioner - Mental Health Counselor 1052854932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amherst H. Wilder FoundationGroup PAC ID 0941288922, 20 clinicians

Practice addresses (Care Compare)

451 Lexington Pkwy N
Saint Paul, MN 55104-4636
Phone (651) 280-2310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02288MNMDMental Health Counselor
2288MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst H. Wilder Foundation CurrentSince Jun 3, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1245844661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 HOLLY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551047134",
            "telephone_number": "612-244-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W STE 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043435",
            "telephone_number": "651-651-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "746 Holly Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551047134",
            "country_code": "US",
            "telephone_number": "612-244-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.