Active NPI
Lisa J Torborg, PSY. D.
- Counseling Psychologist
- Waite Park, MN
National Provider Identifier
1669585253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP4710
- Practice address
- 110 2ND St S
Suite 301
Waite Park, MN 56387-1314 - Phone
- (320) 252-2976
- Fax
- (320) 656-1570
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP4710 | MN | Primary |
Addresses
Primary practice location
110 2ND St S
Suite 301
Waite Park, MN 56387-1314
Mailing address
1740 W Saint Germain St
Suite 200
Saint Cloud, MN 56301-4059
Phone (320) 251-0223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 797206700 | Medicaid | MN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1740 W Saint Germain St
Suite 200
Saint Cloud, MN 56301-4059
Phone (320) 251-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4710 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torborg & Kobienia Psychological Services, LLC | Current | Accepting new patients |
Locations
1740 W Saint Germain St
#200
Saint Cloud, MN 56301
Phone (320) 249-5207
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 and National Provider Directory roles.
-
- Preferred Provider Organization
- Saint Cloud, MN
- NPI 1659762169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1669585253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 W SAINT GERMAIN ST",
"address_2": "SUITE 200",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014059",
"telephone_number": "320-251-0223",
"fax_number": "320-251-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "SUITE 301",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871314",
"telephone_number": "320-252-2976",
"fax_number": "320-656-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORBORG",
"first_name": "LISA",
"middle_name": "J",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP4710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "797206700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.