Lukas Eisen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2022-084 Issued in ND

Practice address

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911

NPI assigned

Sep 6, 2019

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restoration Therapy & Counseling, PLLC

  • Marriage & Family Therapist
  • Fargo, ND
  • NPI 1386471167
  NPD Authorized official
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1326697947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-951-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "LUKAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4155",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2022-084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386471167",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Eide
• Taylor Nicole Eide, SLP
• Danielle L Eidenschink, APRN/CNP
• Katelyn Eidenschink
• Theresa Jane Eischens, OTD, OTR/L
• Alexis Jae Eissinger, PT, DPT
• Rebecca D Eissinger, LICSW
• Heather Eken, PT, DPT
• Madysen Eklund, MS, CCC-SLP
• Teresa Ekren, BCBA

• Marriage & Family Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Marriage & Family Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.