Lisa Jo Lippold, MA, LPCC, LADC
Individual provider Active NPI Professional Counselor · Minneapolis, MN
NPI 1306382007 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1306382007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3266 (MN)
- Practice address
- 4027 County Road 25
Minneapolis, MN 55416-2629 - Phone
- (612) 925-6033
- Fax
- (612) 925-8496
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fairview Express Care
Practice addresses (Care Compare)
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (763) 525-1746
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-6353
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240201003914 | MN | Practitioner - Mental Health Counselor | 8224481536 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302394 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current |
Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
Interoperability endpoints
- lisa.lippold@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3266 | MN | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302394 | MN |
Addresses
Primary practice location
4027 County Road 25
Minneapolis, MN 55416-2629
Mailing address
4240 Park Glen Rd
St Louis Park, MN 55416-5427
Phone (612) 925-6033
Other practice location 1
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016
Other names
- Lisa Jo Dingman
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.lippold@excellian.direct.allina.com | Direct |
Other providers in Minneapolis, MN
- Alexandra Lipinski
- Ben Lipkin
- Gina Lipkin
- Polina Gerber Lipnik
- James Lipon
- Daniel Lee Lips
- Adam Raphael Lipschultz
- Martin L Lipschultz
- Sharon D. Lipscomb
- Lisa Cryns Therapy
All providers in Minneapolis, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.