Individual provider Active NPI

Lee Andrew Folstad, L.M.F.T.

  • Marriage & Family Therapist
  • Hudson, WI
National Provider Identifier
1699845487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
289-124 Issued in WI
Practice address
2910 Enloe St Ste 104
Hudson, WI 54016-8166
Phone
(715) 377-0000
Fax
(715) 377-0000
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 289-124 WI Primary

Addresses

Primary practice location

2910 Enloe St Ste 104
Hudson, WI 54016-8166

Mailing address

13893 Heather St NW
Andover, MN 55304-7543
Phone (763) 757-7034

Other identifiers 1

IdentifierTypeStateIssuer
39-147-000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240219001036 WI Practitioner - Marriage and Family Therapist 7214371244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Counseling, LLCGroup PAC ID 4981122736, 6 clinicians

Practice addresses (Care Compare)

131 Carmichael Rd
Suite 206
Hudson, WI 54016-8271
Phone (715) 690-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
289-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC Marriage & Family Therapist CurrentSince Apr 1, 2025 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Jan 5, 2024 Accepting new patients
Randi L. Erickson Marriage & Family Therapist Past Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

131 Carmichael Rd
Ste 206
Hudson, WI 54016
Phone (715) 690-2115

Interoperability endpoints

  • Direct secure messaging: lifestanceheallth.leefolstad@149809.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699845487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13893 HEATHER ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553047543",
            "telephone_number": "763-757-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 ENLOE ST STE 104",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168166",
            "telephone_number": "715-377-0000",
            "fax_number": "715-377-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSTAD",
        "first_name": "LEE",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "289-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39-147-000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.